| Code | Description | Claims | Beneficiaries | Total Paid |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,946 |
1,945 |
$43K |
| V2020 |
Frames, purchases |
3,124 |
3,120 |
$35K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
3,209 |
3,206 |
$31K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,536 |
1,536 |
$31K |
| 92015 |
Determination of refractive state |
3,685 |
3,684 |
$15K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,651 |
1,625 |
$11K |
| 92250 |
|
964 |
963 |
$10K |
| 92083 |
|
1,442 |
1,438 |
$9K |
| 92133 |
|
857 |
857 |
$8K |
| 92020 |
|
1,431 |
1,428 |
$6K |
| 92283 |
|
944 |
944 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
509 |
503 |
$1K |
| 76514 |
|
82 |
82 |
$0.00 |