| Code | Description | Claims | Beneficiaries | Total Paid |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,178 |
1,116 |
$5K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,134 |
1,102 |
$2K |
| V2020 |
Frames, purchases |
1,145 |
1,073 |
$2K |
| 92015 |
Determination of refractive state |
1,644 |
1,556 |
$1K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
279 |
263 |
$532.70 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
45 |
43 |
$124.02 |
| 92081 |
|
42 |
40 |
$14.76 |