| Code | Description | Claims | Beneficiaries | Total Paid |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
505 |
443 |
$43K |
| 92015 |
Determination of refractive state |
1,381 |
1,188 |
$42K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
612 |
529 |
$11K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
116 |
114 |
$8K |
| V2020 |
Frames, purchases |
150 |
123 |
$4K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
55 |
29 |
$3K |
| 92002 |
|
13 |
13 |
$878.15 |
| 92341 |
|
27 |
24 |
$682.06 |