| Code | Description | Claims | Beneficiaries | Total Paid |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
10,243 |
9,239 |
$448K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
6,895 |
6,305 |
$355K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
499 |
464 |
$26K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
244 |
196 |
$10K |
| 92370 |
|
167 |
156 |
$5K |
| 92134 |
|
177 |
150 |
$5K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
127 |
110 |
$5K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
96 |
86 |
$5K |
| 92133 |
|
108 |
88 |
$4K |
| 92082 |
|
59 |
53 |
$1K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
29 |
25 |
$778.51 |