| Code | Description | Claims | Beneficiaries | Total Paid |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,274 |
1,261 |
$69K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
830 |
830 |
$59K |
| V2020 |
Frames, purchases |
186 |
184 |
$22K |
| 92015 |
Determination of refractive state |
695 |
690 |
$9K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
55 |
53 |
$4K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
14 |
14 |
$104.42 |