| Code | Description | Claims | Beneficiaries | Total Paid |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,007 |
975 |
$47K |
| 92015 |
Determination of refractive state |
886 |
854 |
$26K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
380 |
362 |
$24K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
43 |
43 |
$2K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
31 |
26 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$990.42 |