| Code | Description | Claims | Beneficiaries | Total Paid |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
7,338 |
7,077 |
$179K |
| 92015 |
Determination of refractive state |
6,598 |
6,329 |
$114K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,258 |
2,139 |
$73K |
| 92341 |
|
1,979 |
1,886 |
$57K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
2,761 |
2,680 |
$36K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,017 |
990 |
$29K |
| 92273 |
|
693 |
663 |
$27K |
| 92250 |
|
378 |
369 |
$10K |
| V2020 |
Frames, purchases |
638 |
627 |
$8K |
| 92083 |
|
60 |
60 |
$2K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
58 |
51 |
$1K |
| V2025 |
Deluxe frame |
27 |
13 |
$538.70 |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
15 |
15 |
$191.40 |