| Code | Description | Claims | Beneficiaries | Total Paid |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
6,290 |
5,588 |
$230K |
| 92015 |
Determination of refractive state |
6,188 |
5,506 |
$109K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,611 |
2,164 |
$77K |
| 92341 |
|
399 |
341 |
$11K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
196 |
196 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
29 |
25 |
$514.00 |
| V2020 |
Frames, purchases |
14 |
14 |
$75.60 |