| Code | Description | Claims | Beneficiaries | Total Paid |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
4,701 |
4,336 |
$195K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,305 |
2,094 |
$107K |
| 92015 |
Determination of refractive state |
4,901 |
4,469 |
$104K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
742 |
686 |
$47K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
1,441 |
1,308 |
$46K |
| 92002 |
|
45 |
42 |
$1K |