| Code | Description | Claims | Beneficiaries | Total Paid |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
660 |
581 |
$11K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
186 |
175 |
$8K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
168 |
150 |
$7K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
146 |
118 |
$3K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
86 |
71 |
$2K |
| 92341 |
|
86 |
76 |
$2K |
| 92015 |
Determination of refractive state |
89 |
64 |
$608.17 |
| V2020 |
Frames, purchases |
14 |
14 |
$0.00 |