| Code | Description | Claims | Beneficiaries | Total Paid |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
4,971 |
4,818 |
$342K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,087 |
2,006 |
$173K |
| 92015 |
Determination of refractive state |
8,783 |
8,460 |
$98K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
3,720 |
3,645 |
$82K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
1,213 |
1,077 |
$74K |
| V2020 |
Frames, purchases |
1,859 |
1,631 |
$54K |
| 92341 |
|
575 |
557 |
$14K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
57 |
52 |
$3K |