| Code | Description | Claims | Beneficiaries | Total Paid |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
700 |
601 |
$57K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
802 |
652 |
$51K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,663 |
1,409 |
$28K |
| 92370 |
|
2,062 |
1,754 |
$12K |
| 92341 |
|
243 |
228 |
$5K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
306 |
173 |
$4K |
| 92250 |
|
39 |
27 |
$349.45 |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
22 |
14 |
$119.20 |