| Code | Description | Claims | Beneficiaries | Total Paid |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
10,480 |
10,423 |
$422K |
| V2020 |
Frames, purchases |
17,582 |
17,478 |
$361K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
14,451 |
14,336 |
$308K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
4,018 |
3,976 |
$144K |
| 92015 |
Determination of refractive state |
17,523 |
17,415 |
$139K |
| 92341 |
|
3,152 |
3,134 |
$95K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
2,323 |
2,318 |
$65K |
| 92250 |
|
1,365 |
1,363 |
$53K |
| 92002 |
|
340 |
340 |
$11K |