| Code | Description | Claims | Beneficiaries | Total Paid |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
3,212 |
3,194 |
$117K |
| V2020 |
Frames, purchases |
4,108 |
4,102 |
$80K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
3,041 |
3,038 |
$61K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
944 |
944 |
$52K |
| 92015 |
Determination of refractive state |
5,932 |
5,905 |
$44K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
922 |
921 |
$33K |
| 92341 |
|
745 |
742 |
$22K |
| 92250 |
|
520 |
518 |
$21K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
221 |
221 |
$5K |