| Code | Description | Claims | Beneficiaries | Total Paid |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,027 |
2,810 |
$103K |
| 92015 |
Determination of refractive state |
4,114 |
3,833 |
$73K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,048 |
1,886 |
$60K |
| 92250 |
|
832 |
758 |
$27K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
697 |
654 |
$27K |
| 92341 |
|
373 |
357 |
$11K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
23 |
21 |
$533.26 |
| V2020 |
Frames, purchases |
26 |
26 |
$515.80 |