| Code | Description | Claims | Beneficiaries | Total Paid |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
739 |
719 |
$26K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
702 |
695 |
$25K |
| V2020 |
Frames, purchases |
1,271 |
1,239 |
$25K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,079 |
1,048 |
$21K |
| 92015 |
Determination of refractive state |
1,479 |
1,446 |
$11K |
| 92083 |
|
240 |
233 |
$5K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
88 |
72 |
$2K |
| 92133 |
|
41 |
40 |
$2K |
| 92134 |
|
40 |
40 |
$1K |