| Code | Description | Claims | Beneficiaries | Total Paid |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
3,386 |
2,777 |
$147K |
| V2020 |
Frames, purchases |
6,067 |
4,991 |
$97K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,087 |
1,756 |
$82K |
| 92283 |
|
5,081 |
4,036 |
$70K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
6,036 |
4,967 |
$67K |
| 92250 |
|
2,319 |
1,956 |
$67K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
4,413 |
3,549 |
$42K |
| 92285 |
|
1,536 |
1,313 |
$30K |
| V2499 |
Variable sphericity lens, other type |
324 |
317 |
$29K |
| 92015 |
Determination of refractive state |
5,422 |
4,320 |
$28K |
| 92083 |
|
247 |
208 |
$7K |
| 92100 |
|
92 |
81 |
$4K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
109 |
96 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
78 |
69 |
$2K |