| Code | Description | Claims | Beneficiaries | Total Paid |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,352 |
3,303 |
$150K |
| 92015 |
Determination of refractive state |
5,070 |
4,999 |
$58K |
| V2020 |
Frames, purchases |
892 |
879 |
$27K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
440 |
429 |
$23K |
| 92341 |
|
966 |
962 |
$23K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
923 |
920 |
$22K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
361 |
335 |
$15K |
| 92133 |
|
1,007 |
998 |
$13K |
| 92083 |
|
443 |
438 |
$11K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
459 |
455 |
$9K |
| 92134 |
|
421 |
410 |
$5K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
104 |
98 |
$5K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
46 |
46 |
$2K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
91 |
56 |
$780.88 |