| Code | Description | Claims | Beneficiaries | Total Paid |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,032 |
1,918 |
$92K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
475 |
460 |
$20K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
569 |
547 |
$12K |
| V2020 |
Frames, purchases |
533 |
513 |
$4K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
109 |
89 |
$3K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
232 |
227 |
$3K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
78 |
71 |
$0.00 |