| Code | Description | Claims | Beneficiaries | Total Paid |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
821 |
784 |
$15K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
192 |
191 |
$14K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
281 |
241 |
$14K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
100 |
99 |
$9K |
| 92015 |
Determination of refractive state |
596 |
589 |
$7K |
| 92083 |
|
13 |
13 |
$509.60 |
| 92250 |
|
12 |
12 |
$338.90 |
| 92133 |
|
12 |
12 |
$271.32 |