| Code | Description | Claims | Beneficiaries | Total Paid |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,851 |
3,818 |
$243K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,757 |
2,724 |
$176K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
6,240 |
6,163 |
$118K |
| 92015 |
Determination of refractive state |
6,889 |
6,826 |
$65K |
| 92341 |
|
276 |
274 |
$6K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
107 |
98 |
$4K |
| 92250 |
|
99 |
96 |
$2K |
| V2020 |
Frames, purchases |
66 |
66 |
$1K |