| Code | Description | Claims | Beneficiaries | Total Paid |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
5,920 |
5,912 |
$41K |
| V2020 |
Frames, purchases |
6,763 |
6,751 |
$22K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
6,742 |
6,733 |
$22K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,928 |
3,921 |
$21K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,549 |
1,469 |
$17K |
| 92225 |
|
614 |
390 |
$16K |
| 92015 |
Determination of refractive state |
9,750 |
9,735 |
$13K |
| 92083 |
|
564 |
563 |
$9K |
| 92201 |
|
479 |
476 |
$5K |
| 92341 |
|
631 |
631 |
$3K |
| 92020 |
|
236 |
235 |
$3K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
594 |
590 |
$3K |
| 92226 |
|
68 |
38 |
$2K |
| 92250 |
|
191 |
133 |
$2K |
| 92202 |
|
54 |
54 |
$783.56 |
| 92082 |
|
15 |
15 |
$460.11 |