| Code | Description | Claims | Beneficiaries | Total Paid |
| 68761 |
|
594 |
278 |
$36K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,375 |
1,375 |
$31K |
| V2020 |
Frames, purchases |
2,100 |
2,098 |
$27K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,994 |
1,992 |
$25K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
955 |
955 |
$23K |
| 92015 |
Determination of refractive state |
2,671 |
2,671 |
$12K |
| 68801 |
|
192 |
109 |
$11K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
288 |
282 |
$6K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
276 |
234 |
$2K |
| 92341 |
|
12 |
12 |
$214.64 |