| Code | Description | Claims | Beneficiaries | Total Paid |
| 92250 |
|
2,723 |
2,507 |
$115K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,313 |
3,303 |
$114K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
1,218 |
1,154 |
$45K |
| 92226 |
|
1,007 |
510 |
$40K |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
35 |
28 |
$36K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
415 |
415 |
$29K |
| 92225 |
|
500 |
251 |
$24K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
516 |
515 |
$16K |
| 92015 |
Determination of refractive state |
2,040 |
2,040 |
$11K |
| V2020 |
Frames, purchases |
450 |
443 |
$9K |
| 92341 |
|
148 |
148 |
$4K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
148 |
141 |
$3K |
| 92136 |
|
41 |
40 |
$3K |
| 92202 |
|
167 |
167 |
$2K |
| 92133 |
|
69 |
64 |
$2K |