| Code | Description | Claims | Beneficiaries | Total Paid |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
5,714 |
5,686 |
$202K |
| V2020 |
Frames, purchases |
8,733 |
8,691 |
$169K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
4,333 |
4,295 |
$165K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
7,865 |
7,818 |
$158K |
| 92015 |
Determination of refractive state |
10,856 |
10,785 |
$83K |
| 92341 |
|
864 |
863 |
$24K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
63 |
63 |
$2K |