| Code | Description | Claims | Beneficiaries | Total Paid |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,898 |
1,827 |
$90K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
689 |
670 |
$39K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
360 |
344 |
$20K |
| 92015 |
Determination of refractive state |
473 |
446 |
$13K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
218 |
203 |
$10K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
64 |
60 |
$4K |