| Code | Description | Claims | Beneficiaries | Total Paid |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
3,550 |
3,389 |
$169K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,026 |
1,901 |
$97K |
| 92015 |
Determination of refractive state |
2,856 |
2,712 |
$52K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
535 |
512 |
$36K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
200 |
198 |
$12K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
123 |
118 |
$7K |
| 92250 |
|
137 |
115 |
$4K |
| 92370 |
|
30 |
27 |
$897.26 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
16 |
12 |
$531.57 |