| Code | Description | Claims | Beneficiaries | Total Paid |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
8,640 |
7,468 |
$251K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,434 |
2,415 |
$173K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,863 |
1,854 |
$100K |
| 92015 |
Determination of refractive state |
4,377 |
4,353 |
$56K |
| 92341 |
|
592 |
591 |
$21K |
| 98941 |
Chiropractic manipulative treatment; spinal, 3-4 regions |
669 |
386 |
$20K |
| 92250 |
|
344 |
343 |
$10K |
| 92370 |
|
734 |
699 |
$8K |
| 92225 |
|
103 |
103 |
$7K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
25 |
25 |
$967.83 |