| Code | Description | Claims | Beneficiaries | Total Paid |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
13,883 |
13,844 |
$558K |
| 92250 |
|
9,081 |
9,070 |
$432K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
10,122 |
10,089 |
$406K |
| V2020 |
Frames, purchases |
17,500 |
17,458 |
$387K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
14,254 |
14,212 |
$337K |
| 92015 |
Determination of refractive state |
24,284 |
24,206 |
$196K |
| 92341 |
|
2,480 |
2,469 |
$81K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,164 |
2,629 |
$72K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
121 |
121 |
$6K |
| 92133 |
|
150 |
149 |
$5K |
| 92083 |
|
155 |
152 |
$3K |
| 92134 |
|
26 |
26 |
$35.40 |