| Code | Description | Claims | Beneficiaries | Total Paid |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,355 |
1,346 |
$120K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,580 |
1,544 |
$115K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,793 |
2,536 |
$50K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
492 |
445 |
$49K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
554 |
402 |
$43K |
| 92083 |
|
799 |
747 |
$32K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
729 |
644 |
$26K |
| 92370 |
|
2,750 |
2,490 |
$21K |
| 92020 |
|
446 |
437 |
$6K |
| 92250 |
|
62 |
61 |
$2K |
| 92015 |
Determination of refractive state |
30 |
13 |
$0.00 |