| Code | Description | Claims | Beneficiaries | Total Paid |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
466 |
465 |
$33K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
411 |
409 |
$29K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
552 |
549 |
$21K |
| V2020 |
Frames, purchases |
544 |
541 |
$21K |
| 92250 |
|
239 |
239 |
$18K |
| 92015 |
Determination of refractive state |
878 |
874 |
$13K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
50 |
42 |
$2K |