| Code | Description | Claims | Beneficiaries | Total Paid |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
8,071 |
7,981 |
$231K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,784 |
2,777 |
$144K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,474 |
1,472 |
$87K |
| 92015 |
Determination of refractive state |
4,904 |
4,894 |
$61K |
| 92341 |
|
769 |
757 |
$26K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
14 |
12 |
$987.09 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
17 |
15 |
$716.26 |