| Code | Description | Claims | Beneficiaries | Total Paid |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
8,530 |
8,509 |
$207K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
6,380 |
6,366 |
$180K |
| V2020 |
Frames, purchases |
11,998 |
11,975 |
$169K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
10,325 |
10,299 |
$148K |
| 92015 |
Determination of refractive state |
14,896 |
14,861 |
$76K |
| 92341 |
|
1,679 |
1,676 |
$35K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
1,402 |
1,323 |
$21K |
| 92250 |
|
759 |
759 |
$21K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
172 |
172 |
$6K |
| 92083 |
|
15 |
15 |
$329.83 |