| Code | Description | Claims | Beneficiaries | Total Paid |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
5,010 |
4,856 |
$333K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
4,375 |
4,248 |
$295K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,604 |
2,537 |
$236K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,322 |
1,813 |
$68K |
| 92083 |
|
140 |
130 |
$7K |
| 92015 |
Determination of refractive state |
73 |
69 |
$1K |
| 92370 |
|
29 |
29 |
$580.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
14 |
13 |
$476.59 |
| 92133 |
|
13 |
13 |
$404.36 |