| Code | Description | Claims | Beneficiaries | Total Paid |
| 92083 |
|
2,069 |
2,018 |
$84K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
989 |
962 |
$82K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
688 |
669 |
$69K |
| 92250 |
|
2,071 |
2,019 |
$62K |
| 92015 |
Determination of refractive state |
1,386 |
1,365 |
$42K |
| 92285 |
|
1,671 |
1,575 |
$22K |
| 92284 |
|
569 |
551 |
$20K |
| V2410 |
Variable asphericity lens, single vision, full field, glass or plastic, per lens |
127 |
125 |
$10K |
| V2020 |
Frames, purchases |
177 |
175 |
$6K |
| 92020 |
|
191 |
183 |
$3K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
127 |
125 |
$2K |