| Code | Description | Claims | Beneficiaries | Total Paid |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
409 |
369 |
$39K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
457 |
379 |
$32K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,131 |
1,102 |
$23K |
| 92370 |
|
1,603 |
1,567 |
$10K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
100 |
72 |
$4K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
62 |
43 |
$2K |
| 92341 |
|
82 |
82 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
18 |
13 |
$956.45 |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
18 |
14 |
$727.83 |
| 92015 |
Determination of refractive state |
21 |
12 |
$259.37 |