| Code | Description | Claims | Beneficiaries | Total Paid |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
859 |
813 |
$63K |
| V2020 |
Frames, purchases |
1,099 |
1,035 |
$16K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
423 |
392 |
$6K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
275 |
273 |
$4K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
107 |
106 |
$1K |
| 92015 |
Determination of refractive state |
1,126 |
1,036 |
$133.38 |