| Code | Description | Claims | Beneficiaries | Total Paid |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,620 |
3,619 |
$113K |
| 92015 |
Determination of refractive state |
3,567 |
3,565 |
$40K |
| V2020 |
Frames, purchases |
1,214 |
1,193 |
$24K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
908 |
889 |
$18K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,146 |
1,030 |
$12K |
| 92341 |
|
138 |
137 |
$4K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
27 |
27 |
$579.15 |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
12 |
12 |
$243.96 |