| Code | Description | Claims | Beneficiaries | Total Paid |
| 92015 |
Determination of refractive state |
450 |
429 |
$12K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
125 |
119 |
$4K |
| V2020 |
Frames, purchases |
192 |
181 |
$4K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
126 |
118 |
$2K |
| 92250 |
|
47 |
42 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
23 |
12 |
$978.71 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13 |
13 |
$626.09 |
| 92145 |
|
26 |
26 |
$175.24 |