| Code | Description | Claims | Beneficiaries | Total Paid |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
4,612 |
4,314 |
$83K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
950 |
882 |
$78K |
| 92370 |
|
5,073 |
4,720 |
$41K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
525 |
484 |
$33K |
| 92250 |
|
664 |
436 |
$12K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
83 |
72 |
$5K |
| 92341 |
|
145 |
141 |
$3K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
62 |
51 |
$2K |
| 92060 |
|
14 |
14 |
$619.22 |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
22 |
15 |
$479.86 |
| 92285 |
|
90 |
39 |
$159.03 |