| Code | Description | Claims | Beneficiaries | Total Paid |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,561 |
3,557 |
$236K |
| V2020 |
Frames, purchases |
6,296 |
6,272 |
$227K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
5,101 |
5,088 |
$186K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,910 |
1,909 |
$136K |
| 92015 |
Determination of refractive state |
5,766 |
5,751 |
$76K |
| 92341 |
|
829 |
828 |
$44K |
| 92250 |
|
380 |
380 |
$22K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
25 |
25 |
$2K |