| Code | Description | Claims | Beneficiaries | Total Paid |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
5,900 |
5,736 |
$281K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
4,286 |
4,151 |
$212K |
| 92015 |
Determination of refractive state |
6,094 |
5,931 |
$196K |
| 92250 |
|
4,457 |
4,319 |
$165K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,823 |
1,761 |
$120K |
| S0512 |
Daily wear specialty contact lens, per lens |
313 |
295 |
$86K |
| S0592 |
Comprehensive contact lens evaluation |
2,216 |
1,892 |
$84K |
| 92133 |
|
51 |
47 |
$2K |
| 92083 |
|
46 |
46 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
43 |
43 |
$1K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
40 |
33 |
$1K |
| 99070 |
|
72 |
69 |
$0.00 |