| Code | Description | Claims | Beneficiaries | Total Paid |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,390 |
2,378 |
$71K |
| V2020 |
Frames, purchases |
3,520 |
3,507 |
$51K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,603 |
1,602 |
$42K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,769 |
2,755 |
$40K |
| 92015 |
Determination of refractive state |
4,145 |
4,129 |
$23K |
| 92341 |
|
548 |
547 |
$6K |
| 92250 |
|
222 |
222 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
29 |
29 |
$1K |
| V2025 |
Deluxe frame |
15 |
15 |
$155.88 |