| Code | Description | Claims | Beneficiaries | Total Paid |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,720 |
1,601 |
$79K |
| 92015 |
Determination of refractive state |
3,299 |
3,099 |
$59K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,274 |
1,191 |
$53K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
860 |
823 |
$26K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
145 |
130 |
$6K |
| 92341 |
|
44 |
44 |
$1K |
| V2020 |
Frames, purchases |
27 |
24 |
$575.00 |