| Code | Description | Claims | Beneficiaries | Total Paid |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,204 |
2,931 |
$144K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,389 |
2,211 |
$113K |
| 92015 |
Determination of refractive state |
5,581 |
5,133 |
$100K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,725 |
2,466 |
$80K |
| V2020 |
Frames, purchases |
319 |
315 |
$7K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
189 |
186 |
$2K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
111 |
108 |
$1K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
37 |
37 |
$335.93 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
12 |
12 |
$21.63 |