| Code | Description | Claims | Beneficiaries | Total Paid |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,652 |
2,433 |
$217K |
| 92015 |
Determination of refractive state |
4,803 |
4,276 |
$131K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
845 |
799 |
$89K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
4,533 |
4,132 |
$80K |
| V2020 |
Frames, purchases |
1,641 |
1,615 |
$57K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
1,494 |
1,471 |
$55K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
447 |
443 |
$32K |
| 92002 |
|
25 |
25 |
$2K |