| Code | Description | Claims | Beneficiaries | Total Paid |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,322 |
1,311 |
$88K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
817 |
814 |
$66K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
1,040 |
981 |
$46K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
420 |
385 |
$19K |
| V2020 |
Frames, purchases |
481 |
479 |
$15K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
175 |
174 |
$12K |
| 92134 |
|
66 |
65 |
$1K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
56 |
56 |
$1K |