| Code | Description | Claims | Beneficiaries | Total Paid |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,960 |
3,919 |
$216K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
3,353 |
3,294 |
$189K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
9,096 |
8,589 |
$145K |
| 92015 |
Determination of refractive state |
7,445 |
7,336 |
$60K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
755 |
731 |
$27K |
| V2020 |
Frames, purchases |
24 |
24 |
$456.00 |