| Code | Description | Claims | Beneficiaries | Total Paid |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,246 |
1,217 |
$52K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
946 |
927 |
$44K |
| 92015 |
Determination of refractive state |
2,276 |
2,232 |
$39K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,308 |
1,281 |
$38K |
| V2020 |
Frames, purchases |
107 |
106 |
$4K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
42 |
39 |
$650.51 |