| Code | Description | Claims | Beneficiaries | Total Paid |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,888 |
1,888 |
$76K |
| V2020 |
Frames, purchases |
3,455 |
3,449 |
$69K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,868 |
1,867 |
$68K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,735 |
2,713 |
$55K |
| 92015 |
Determination of refractive state |
4,300 |
4,298 |
$32K |
| 92341 |
|
411 |
407 |
$12K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
227 |
192 |
$7K |