| Code | Description | Claims | Beneficiaries | Total Paid |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
3,513 |
3,303 |
$158K |
| 92015 |
Determination of refractive state |
3,787 |
3,518 |
$93K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,618 |
1,518 |
$80K |
| 92250 |
|
1,873 |
1,741 |
$59K |
| 92083 |
|
1,827 |
1,700 |
$57K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
1,139 |
1,023 |
$35K |
| 92133 |
|
596 |
570 |
$26K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
337 |
306 |
$18K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
207 |
200 |
$12K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
182 |
166 |
$10K |
| 92020 |
|
346 |
326 |
$6K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
38 |
37 |
$1K |
| V2020 |
Frames, purchases |
49 |
45 |
$840.00 |
| 92370 |
|
18 |
18 |
$517.65 |
| 92284 |
|
16 |
16 |
$0.00 |
| G9905 |
Patient not screened for tobacco use |
17 |
16 |
$0.00 |
| G8785 |
Blood pressure reading not documented, reason not given |
57 |
56 |
$0.00 |