| Code | Description | Claims | Beneficiaries | Total Paid |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,566 |
3,446 |
$142K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,603 |
2,536 |
$77K |
| 92015 |
Determination of refractive state |
3,894 |
3,790 |
$68K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
910 |
891 |
$40K |
| V2020 |
Frames, purchases |
102 |
102 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
82 |
82 |
$3K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
53 |
51 |
$1K |
| 92134 |
|
15 |
15 |
$184.18 |