| Code | Description | Claims | Beneficiaries | Total Paid |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
5,079 |
5,048 |
$187K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
4,905 |
4,882 |
$180K |
| V2020 |
Frames, purchases |
7,139 |
7,040 |
$151K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
6,108 |
6,035 |
$137K |
| 92250 |
|
2,823 |
2,814 |
$116K |
| 92081 |
|
3,153 |
3,145 |
$82K |
| 92015 |
Determination of refractive state |
10,490 |
10,432 |
$78K |
| 92225 |
|
604 |
517 |
$48K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
580 |
578 |
$38K |
| 92201 |
|
1,469 |
1,456 |
$36K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
465 |
453 |
$26K |
| 92341 |
|
912 |
897 |
$26K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
519 |
514 |
$19K |
| 92273 |
|
57 |
55 |
$6K |
| 92002 |
|
17 |
17 |
$551.99 |