| Code | Description | Claims | Beneficiaries | Total Paid |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
5,966 |
5,941 |
$232K |
| V2020 |
Frames, purchases |
10,474 |
10,380 |
$209K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
8,881 |
8,772 |
$180K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
4,785 |
4,761 |
$169K |
| 92015 |
Determination of refractive state |
12,175 |
12,097 |
$93K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
961 |
957 |
$25K |
| 92341 |
|
814 |
810 |
$24K |
| 92225 |
|
65 |
59 |
$4K |
| 92100 |
|
73 |
70 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
71 |
67 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
28 |
28 |
$2K |
| 92250 |
|
32 |
32 |
$1K |
| 92226 |
|
15 |
14 |
$591.90 |