| Code | Description | Claims | Beneficiaries | Total Paid |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,887 |
2,882 |
$20K |
| V2020 |
Frames, purchases |
4,804 |
4,801 |
$17K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
4,306 |
4,301 |
$16K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,134 |
2,133 |
$13K |
| 92015 |
Determination of refractive state |
5,985 |
5,979 |
$8K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
1,148 |
1,141 |
$5K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
891 |
863 |
$3K |
| 92002 |
|
273 |
273 |
$2K |
| 92341 |
|
322 |
322 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
355 |
350 |
$667.55 |