| Code | Description | Claims | Beneficiaries | Total Paid |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
9,335 |
9,298 |
$349K |
| V2020 |
Frames, purchases |
8,575 |
8,542 |
$191K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
7,497 |
7,451 |
$171K |
| 92015 |
Determination of refractive state |
14,797 |
14,734 |
$112K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,573 |
2,565 |
$94K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,186 |
1,186 |
$62K |
| 92250 |
|
1,064 |
1,063 |
$39K |
| 92341 |
|
1,038 |
1,037 |
$31K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
574 |
561 |
$13K |
| 92225 |
|
242 |
120 |
$11K |
| 92273 |
|
67 |
67 |
$7K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
25 |
25 |
$1K |
| 92082 |
|
28 |
28 |
$917.52 |