| Code | Description | Claims | Beneficiaries | Total Paid |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
5,394 |
4,878 |
$242K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
4,730 |
4,294 |
$208K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,715 |
1,541 |
$101K |
| 92015 |
Determination of refractive state |
7,086 |
6,479 |
$98K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
551 |
458 |
$16K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
265 |
241 |
$7K |
| 92250 |
|
55 |
45 |
$766.53 |
| 92370 |
|
13 |
13 |
$448.63 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
13 |
13 |
$267.65 |