| Code | Description | Claims | Beneficiaries | Total Paid |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
12,539 |
11,275 |
$367K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,460 |
2,444 |
$165K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,494 |
2,469 |
$124K |
| 92015 |
Determination of refractive state |
6,375 |
6,331 |
$82K |
| 92341 |
|
502 |
501 |
$18K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
282 |
281 |
$16K |
| 92285 |
|
267 |
265 |
$7K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
117 |
116 |
$5K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
104 |
101 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
16 |
16 |
$1K |