| Code | Description | Claims | Beneficiaries | Total Paid |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
8,937 |
8,826 |
$581K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
4,113 |
4,054 |
$314K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
8,980 |
8,879 |
$179K |
| 92015 |
Determination of refractive state |
13,245 |
13,097 |
$134K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,365 |
1,233 |
$60K |
| 92250 |
|
2,178 |
2,152 |
$50K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
127 |
112 |
$4K |
| V2020 |
Frames, purchases |
13 |
12 |
$247.00 |