| Code | Description | Claims | Beneficiaries | Total Paid |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,047 |
2,046 |
$12K |
| V2020 |
Frames, purchases |
2,624 |
2,621 |
$10K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,330 |
2,330 |
$8K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
770 |
770 |
$7K |
| 92015 |
Determination of refractive state |
3,419 |
3,419 |
$6K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
357 |
329 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
97 |
92 |
$1K |
| 92341 |
|
66 |
66 |
$409.24 |