| Code | Description | Claims | Beneficiaries | Total Paid |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
2,236 |
2,097 |
$84K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,163 |
2,041 |
$74K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
559 |
402 |
$16K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
358 |
327 |
$12K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
180 |
171 |
$2K |
| 92002 |
|
31 |
26 |
$1K |
| 92370 |
|
15 |
15 |
$517.65 |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
30 |
30 |
$0.00 |