| Code | Description | Claims | Beneficiaries | Total Paid |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
4,246 |
4,085 |
$266K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
3,121 |
3,006 |
$259K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
8,757 |
8,426 |
$164K |
| 92341 |
|
3,930 |
3,866 |
$87K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
3,056 |
2,955 |
$58K |
| 92370 |
|
7,269 |
7,074 |
$40K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,507 |
1,423 |
$26K |
| 92015 |
Determination of refractive state |
1,637 |
1,264 |
$23K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
451 |
437 |
$19K |
| 92002 |
|
793 |
781 |
$12K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
94 |
93 |
$209.64 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
87 |
87 |
$110.67 |