| Code | Description | Claims | Beneficiaries | Total Paid |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
3,644 |
3,530 |
$177K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
3,083 |
3,012 |
$176K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
748 |
714 |
$41K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
211 |
195 |
$9K |
| 92015 |
Determination of refractive state |
227 |
210 |
$5K |
| 92370 |
|
154 |
149 |
$5K |
| 92250 |
|
53 |
53 |
$2K |
| G9905 |
Patient not screened for tobacco use |
3,095 |
2,909 |
$0.00 |
| G8785 |
Blood pressure reading not documented, reason not given |
356 |
319 |
$0.00 |