| Code | Description | Claims | Beneficiaries | Total Paid |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
634 |
617 |
$38K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
586 |
573 |
$38K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
349 |
348 |
$32K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
164 |
157 |
$6K |
| 92341 |
|
80 |
77 |
$5K |
| 92015 |
Determination of refractive state |
265 |
249 |
$4K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
77 |
61 |
$3K |
| 92083 |
|
27 |
27 |
$1K |
| 92133 |
|
12 |
12 |
$372.20 |
| V2020 |
Frames, purchases |
26 |
26 |
$44.25 |