| Code | Description | Claims | Beneficiaries | Total Paid |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
11,299 |
8,791 |
$298K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,790 |
2,782 |
$150K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,742 |
1,739 |
$126K |
| 92015 |
Determination of refractive state |
8,262 |
8,229 |
$104K |
| 92341 |
|
1,151 |
1,090 |
$38K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
389 |
376 |
$15K |
| 92370 |
|
969 |
924 |
$10K |
| 92134 |
|
51 |
51 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
27 |
27 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
28 |
26 |
$762.40 |