| Code | Description | Claims | Beneficiaries | Total Paid |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
3,919 |
3,899 |
$144K |
| 92250 |
|
2,945 |
2,931 |
$119K |
| V2020 |
Frames, purchases |
4,144 |
4,119 |
$85K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,963 |
1,955 |
$71K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
3,181 |
3,129 |
$66K |
| 92015 |
Determination of refractive state |
6,659 |
6,612 |
$49K |
| 92341 |
|
911 |
894 |
$27K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
389 |
375 |
$9K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
138 |
138 |
$9K |
| 92225 |
|
81 |
81 |
$7K |