| Code | Description | Claims | Beneficiaries | Total Paid |
| V2020 |
Frames, purchases |
3,662 |
3,656 |
$73K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,197 |
2,196 |
$61K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,641 |
2,639 |
$51K |
| 92015 |
Determination of refractive state |
3,339 |
3,338 |
$47K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,109 |
1,109 |
$28K |
| 92341 |
|
489 |
489 |
$12K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13 |
13 |
$445.00 |