| Code | Description | Claims | Beneficiaries | Total Paid |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,694 |
2,621 |
$126K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,218 |
1,172 |
$62K |
| 92015 |
Determination of refractive state |
1,715 |
1,652 |
$43K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
782 |
770 |
$43K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
390 |
373 |
$26K |
| 92250 |
|
654 |
628 |
$21K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
136 |
135 |
$7K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
127 |
97 |
$5K |
| 92083 |
|
141 |
118 |
$3K |
| 92133 |
|
74 |
55 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
53 |
51 |
$2K |
| 92020 |
|
73 |
68 |
$1K |
| 92370 |
|
42 |
40 |
$1K |