| Code | Description | Claims | Beneficiaries | Total Paid |
| 92250 |
|
2,628 |
2,626 |
$100K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,024 |
1,924 |
$43K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
4,433 |
4,431 |
$32K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
5,245 |
5,244 |
$31K |
| V2020 |
Frames, purchases |
8,164 |
8,158 |
$28K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
7,019 |
7,013 |
$27K |
| 92015 |
Determination of refractive state |
10,337 |
10,316 |
$14K |
| 92083 |
|
235 |
235 |
$6K |
| 92133 |
|
131 |
131 |
$4K |
| 92341 |
|
897 |
897 |
$2K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
603 |
580 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
78 |
72 |
$1K |