| Code | Description | Claims | Beneficiaries | Total Paid |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
426 |
423 |
$13K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
440 |
439 |
$12K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
106 |
98 |
$8K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
55 |
55 |
$8K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
331 |
330 |
$6K |
| 92015 |
Determination of refractive state |
1,005 |
1,002 |
$6K |
| V2020 |
Frames, purchases |
302 |
301 |
$6K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
56 |
51 |
$2K |
| 92134 |
|
30 |
29 |
$1K |