| Code | Description | Claims | Beneficiaries | Total Paid |
| V2020 |
Frames, purchases |
10,832 |
10,751 |
$221K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
8,979 |
8,886 |
$188K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
4,739 |
4,709 |
$179K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
4,728 |
4,689 |
$172K |
| 92015 |
Determination of refractive state |
10,498 |
10,423 |
$83K |
| 92370 |
|
5,538 |
5,518 |
$35K |
| 92341 |
|
886 |
871 |
$24K |
| 92250 |
|
91 |
91 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
114 |
106 |
$3K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
25 |
25 |
$559.00 |