| Code | Description | Claims | Beneficiaries | Total Paid |
| 92065 |
|
11,884 |
4,850 |
$503K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
4,767 |
4,689 |
$237K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
3,733 |
3,693 |
$217K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
1,564 |
1,540 |
$91K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,381 |
2,305 |
$80K |
| 92066 |
|
1,347 |
521 |
$33K |
| 96112 |
|
200 |
190 |
$29K |
| 92015 |
Determination of refractive state |
889 |
860 |
$24K |
| 92370 |
|
386 |
380 |
$13K |
| 92060 |
|
231 |
223 |
$9K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
66 |
64 |
$4K |
| 96111 |
|
59 |
59 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
37 |
36 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
27 |
27 |
$2K |
| 96113 |
|
14 |
14 |
$980.14 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
13 |
12 |
$746.44 |
| 92250 |
|
29 |
26 |
$735.31 |