| Code | Description | Claims | Beneficiaries | Total Paid |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
700 |
664 |
$32K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
376 |
357 |
$20K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
185 |
166 |
$10K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
38 |
37 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12 |
12 |
$311.79 |