| Code | Description | Claims | Beneficiaries | Total Paid |
| 92065 |
|
3,247 |
898 |
$95K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,178 |
1,129 |
$72K |
| V2020 |
Frames, purchases |
1,694 |
1,502 |
$31K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,619 |
1,479 |
$29K |
| 92015 |
Determination of refractive state |
2,913 |
2,787 |
$28K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
336 |
333 |
$25K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
741 |
542 |
$15K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
452 |
366 |
$10K |
| 92060 |
|
190 |
182 |
$8K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
145 |
132 |
$7K |