| Code | Description | Claims | Beneficiaries | Total Paid |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
881 |
880 |
$33K |
| V2020 |
Frames, purchases |
1,091 |
1,085 |
$23K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,011 |
1,003 |
$21K |
| 92015 |
Determination of refractive state |
2,010 |
2,007 |
$16K |
| 92250 |
|
230 |
230 |
$10K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
141 |
139 |
$8K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
61 |
61 |
$1K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
14 |
14 |
$669.58 |