| Code | Description | Claims | Beneficiaries | Total Paid |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,383 |
1,332 |
$86K |
| 92250 |
|
1,390 |
1,289 |
$55K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
905 |
890 |
$53K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
477 |
463 |
$42K |
| 92015 |
Determination of refractive state |
1,367 |
1,303 |
$9K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
124 |
100 |
$5K |
| 92285 |
|
407 |
313 |
$4K |
| 92341 |
|
42 |
42 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
18 |
13 |
$1K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
17 |
16 |
$750.72 |
| 92083 |
|
13 |
13 |
$457.60 |
| V2020 |
Frames, purchases |
75 |
74 |
$380.00 |