| Code | Description | Claims | Beneficiaries | Total Paid |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,940 |
1,859 |
$126K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,346 |
1,271 |
$105K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,107 |
1,049 |
$68K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
879 |
649 |
$25K |
| 92015 |
Determination of refractive state |
1,796 |
1,681 |
$4K |