| Code | Description | Claims | Beneficiaries | Total Paid |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
4,221 |
4,141 |
$288K |
| 92083 |
|
3,683 |
3,581 |
$102K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,595 |
1,549 |
$90K |
| 92370 |
|
3,999 |
3,808 |
$69K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
3,454 |
3,342 |
$60K |
| 92015 |
Determination of refractive state |
6,093 |
5,956 |
$56K |
| 92250 |
|
2,407 |
2,327 |
$49K |
| V2799 |
Vision item or service, miscellaneous |
380 |
363 |
$36K |
| 92081 |
|
1,469 |
1,450 |
$27K |
| 92082 |
|
460 |
454 |
$12K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
25 |
25 |
$3K |
| V2020 |
Frames, purchases |
24 |
24 |
$1K |
| 3072F |
|
284 |
282 |
$0.00 |
| 2033F |
|
73 |
73 |
$0.00 |
| 2023F |
|
20 |
20 |
$0.00 |
| 2026F |
|
500 |
498 |
$0.00 |
| 2022F |
|
12 |
12 |
$0.00 |