| Code | Description | Claims | Beneficiaries | Total Paid |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
992 |
992 |
$37K |
| V2020 |
Frames, purchases |
1,791 |
1,790 |
$36K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,324 |
1,323 |
$26K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
512 |
512 |
$19K |
| 92015 |
Determination of refractive state |
2,448 |
2,447 |
$18K |
| 92341 |
|
69 |
69 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
12 |
12 |
$179.20 |