| Code | Description | Claims | Beneficiaries | Total Paid |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
9,748 |
9,694 |
$378K |
| V2020 |
Frames, purchases |
11,459 |
11,325 |
$222K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
8,271 |
8,185 |
$171K |
| 92015 |
Determination of refractive state |
13,598 |
13,447 |
$108K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,106 |
3,084 |
$108K |
| 92341 |
|
3,262 |
3,214 |
$97K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
886 |
876 |
$55K |
| 92250 |
|
1,310 |
1,271 |
$46K |
| 99215 |
Prolong outpt/office vis |
800 |
748 |
$36K |
| 68801 |
|
185 |
171 |
$19K |
| 92134 |
|
437 |
427 |
$14K |
| 92225 |
|
88 |
86 |
$4K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
137 |
123 |
$3K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
36 |
32 |
$804.96 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12 |
12 |
$398.43 |