| Code | Description | Claims | Beneficiaries | Total Paid |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
150 |
148 |
$6K |
| V2020 |
Frames, purchases |
146 |
142 |
$3K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
131 |
129 |
$3K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
66 |
65 |
$3K |
| 92015 |
Determination of refractive state |
243 |
239 |
$2K |
| 92250 |
|
17 |
15 |
$709.07 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
19 |
15 |
$451.44 |