| Code | Description | Claims | Bene. Records | Total Paid |
| 92015 |
Determination of refractive state |
1,671 |
1,606 |
$30K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
561 |
543 |
$25K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
575 |
530 |
$23K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
715 |
678 |
$21K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
41 |
40 |
$3K |
| V2020 |
Frames, purchases |
64 |
63 |
$803.60 |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
24 |
24 |
$295.92 |