| Code | Description | Claims | Beneficiaries | Total Paid |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
815 |
807 |
$50K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
496 |
496 |
$37K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,478 |
1,464 |
$26K |
| 92015 |
Determination of refractive state |
1,753 |
1,750 |
$23K |
| 92250 |
|
237 |
236 |
$7K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
189 |
175 |
$6K |
| V2020 |
Frames, purchases |
14 |
14 |
$267.50 |