| Code | Description | Claims | Beneficiaries | Total Paid |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
814 |
797 |
$56K |
| V2020 |
Frames, purchases |
1,292 |
1,264 |
$45K |
| 92015 |
Determination of refractive state |
1,216 |
1,186 |
$26K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,103 |
1,070 |
$18K |
| 92002 |
|
246 |
239 |
$16K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
428 |
413 |
$11K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
89 |
87 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
12 |
12 |
$322.75 |