| Code | Description | Claims | Beneficiaries | Total Paid |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,336 |
1,303 |
$63K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
907 |
889 |
$50K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
122 |
117 |
$7K |
| 92015 |
Determination of refractive state |
201 |
178 |
$5K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
48 |
42 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14 |
12 |
$361.17 |
| 92250 |
|
15 |
15 |
$348.24 |