| Code | Description | Claims | Beneficiaries | Total Paid |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
7,066 |
6,980 |
$432K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
5,568 |
5,525 |
$298K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
5,777 |
5,698 |
$118K |
| 92015 |
Determination of refractive state |
14,114 |
13,932 |
$115K |
| 92370 |
|
861 |
828 |
$15K |
| 92250 |
|
477 |
453 |
$9K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
77 |
71 |
$4K |
| V2020 |
Frames, purchases |
43 |
43 |
$719.50 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
15 |
15 |
$519.71 |
| 92133 |
|
12 |
12 |
$0.00 |