| Code | Description | Claims | Beneficiaries | Total Paid |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
5,892 |
5,470 |
$275K |
| 92015 |
Determination of refractive state |
8,199 |
7,635 |
$146K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,124 |
2,010 |
$95K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
3,184 |
2,788 |
$94K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
212 |
211 |
$10K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
159 |
159 |
$7K |
| 92310 |
|
84 |
82 |
$6K |
| 3072F |
|
244 |
244 |
$0.00 |