| Code | Description | Claims | Beneficiaries | Total Paid |
| V2020 |
Frames, purchases |
819 |
797 |
$77K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
391 |
386 |
$17K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
478 |
473 |
$15K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
122 |
119 |
$8K |
| 92250 |
|
140 |
138 |
$7K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
205 |
204 |
$6K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
71 |
64 |
$2K |
| 92015 |
Determination of refractive state |
799 |
764 |
$0.00 |