| Code | Description | Claims | Beneficiaries | Total Paid |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
540 |
469 |
$23K |
| 92015 |
Determination of refractive state |
900 |
826 |
$16K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
248 |
218 |
$10K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
255 |
249 |
$7K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
17 |
15 |
$1K |
| V2020 |
Frames, purchases |
32 |
24 |
$825.12 |
| 92250 |
|
16 |
12 |
$328.16 |