| Code | Description | Claims | Beneficiaries | Total Paid |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
823 |
795 |
$19K |
| 92015 |
Determination of refractive state |
873 |
850 |
$16K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
1,070 |
1,024 |
$12K |
| 92083 |
|
498 |
485 |
$10K |
| 92133 |
|
401 |
390 |
$6K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
142 |
135 |
$5K |
| 92341 |
|
210 |
191 |
$5K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
107 |
104 |
$2K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
12 |
12 |
$351.36 |
| 92134 |
|
16 |
16 |
$286.00 |
| V2020 |
Frames, purchases |
18 |
18 |
$75.00 |