| Code | Description | Claims | Beneficiaries | Total Paid |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,276 |
1,232 |
$74K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
605 |
586 |
$46K |
| 92015 |
Determination of refractive state |
2,451 |
2,372 |
$12K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
876 |
871 |
$4K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
32 |
30 |
$3K |
| V2020 |
Frames, purchases |
26 |
24 |
$1K |