| Code | Description | Claims | Beneficiaries | Total Paid |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
10,897 |
10,769 |
$28K |
| V2020 |
Frames, purchases |
10,158 |
10,057 |
$28K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,766 |
1,760 |
$19K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
564 |
546 |
$13K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
229 |
224 |
$9K |
| 92015 |
Determination of refractive state |
2,804 |
2,777 |
$9K |
| 76519 |
|
77 |
76 |
$4K |
| 92083 |
|
124 |
124 |
$4K |
| 92133 |
|
116 |
114 |
$3K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
295 |
292 |
$3K |
| 92225 |
|
106 |
104 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
27 |
27 |
$2K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
99 |
95 |
$2K |
| 92020 |
|
119 |
118 |
$1K |
| 92202 |
|
16 |
16 |
$302.88 |
| 92134 |
|
12 |
12 |
$243.95 |