| Code | Description | Claims | Beneficiaries | Total Paid |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
4,125 |
4,104 |
$143K |
| V2020 |
Frames, purchases |
5,813 |
5,774 |
$111K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
4,996 |
4,968 |
$97K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,478 |
2,462 |
$84K |
| 92015 |
Determination of refractive state |
6,648 |
6,611 |
$48K |
| 92250 |
|
925 |
914 |
$36K |
| 92341 |
|
370 |
370 |
$11K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
18 |
18 |
$419.17 |