| Code | Description | Claims | Beneficiaries | Total Paid |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,788 |
1,756 |
$123K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,684 |
1,671 |
$100K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,187 |
2,020 |
$68K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
3,073 |
2,895 |
$50K |
| 92015 |
Determination of refractive state |
4,326 |
4,273 |
$39K |
| 92083 |
|
1,544 |
1,515 |
$30K |
| 92250 |
|
1,470 |
1,455 |
$24K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
131 |
127 |
$6K |
| 92310 |
|
47 |
44 |
$2K |
| 92341 |
|
152 |
149 |
$2K |
| V2020 |
Frames, purchases |
34 |
31 |
$604.00 |