| Code | Description | Claims | Beneficiaries | Total Paid |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
4,448 |
4,425 |
$166K |
| V2020 |
Frames, purchases |
5,430 |
5,393 |
$113K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,780 |
2,763 |
$110K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
5,052 |
5,013 |
$109K |
| 92015 |
Determination of refractive state |
7,588 |
7,538 |
$60K |
| 92250 |
|
187 |
185 |
$7K |
| 92341 |
|
204 |
204 |
$6K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
88 |
88 |
$3K |