| Code | Description | Claims | Bene. Records | Total Paid |
| V2020 |
Frames, purchases |
1,390 |
1,383 |
$21K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
766 |
764 |
$20K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
810 |
805 |
$18K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
970 |
962 |
$14K |
| 92015 |
Determination of refractive state |
2,195 |
2,188 |
$11K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12 |
12 |
$36.60 |