| Code | Description | Claims | Beneficiaries | Total Paid |
| V2020 |
Frames, purchases |
2,810 |
2,795 |
$21K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,666 |
2,645 |
$21K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,100 |
2,099 |
$19K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
918 |
901 |
$19K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,030 |
985 |
$11K |
| 92015 |
Determination of refractive state |
3,796 |
3,795 |
$10K |
| 92250 |
|
1,112 |
1,112 |
$9K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
242 |
242 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12 |
12 |
$302.00 |
| 92341 |
|
39 |
39 |
$214.65 |
| 92083 |
|
27 |
27 |
$39.86 |