| Code | Description | Claims | Beneficiaries | Total Paid |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
5,409 |
5,133 |
$244K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
3,602 |
3,525 |
$199K |
| 92065 |
|
2,424 |
919 |
$99K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
714 |
671 |
$37K |
| 92015 |
Determination of refractive state |
1,373 |
1,322 |
$35K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
456 |
445 |
$22K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
321 |
307 |
$17K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
354 |
338 |
$11K |
| 92370 |
|
112 |
109 |
$4K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
102 |
98 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
29 |
29 |
$903.90 |