| Code | Description | Claims | Beneficiaries | Total Paid |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
14,302 |
10,382 |
$310K |
| 92015 |
Determination of refractive state |
8,244 |
7,898 |
$175K |
| V2020 |
Frames, purchases |
6,127 |
5,877 |
$73K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
3,508 |
2,651 |
$69K |
| 92341 |
|
6,143 |
5,910 |
$4K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
5,590 |
5,364 |
$2K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
550 |
440 |
$2K |