| Code | Description | Claims | Beneficiaries | Total Paid |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,385 |
1,311 |
$36K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
341 |
321 |
$34K |
| 92015 |
Determination of refractive state |
2,267 |
2,140 |
$30K |
| 92002 |
|
141 |
122 |
$8K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
28 |
28 |
$3K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
37 |
37 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
14 |
14 |
$1K |