| Code | Description | Claims | Beneficiaries | Total Paid |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,126 |
1,124 |
$40K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
420 |
420 |
$14K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
700 |
697 |
$14K |
| V2020 |
Frames, purchases |
661 |
660 |
$13K |
| 92015 |
Determination of refractive state |
1,471 |
1,469 |
$11K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
269 |
253 |
$6K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
133 |
132 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
253 |
239 |
$3K |
| 92250 |
|
30 |
30 |
$1K |