| Code | Description | Claims | Beneficiaries | Total Paid |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
5,814 |
5,646 |
$387K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
4,540 |
4,444 |
$307K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,704 |
2,625 |
$243K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
337 |
283 |
$11K |
| 92370 |
|
282 |
275 |
$8K |
| 92250 |
|
217 |
202 |
$7K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
159 |
138 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
13 |
12 |
$784.40 |
| 92015 |
Determination of refractive state |
49 |
38 |
$506.48 |