| Code | Description | Claims | Beneficiaries | Total Paid |
| 92310 |
|
2,355 |
1,527 |
$211K |
| 92060 |
|
5,296 |
2,910 |
$170K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,469 |
2,090 |
$148K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,386 |
1,469 |
$84K |
| 92065 |
|
1,190 |
617 |
$28K |
| V2020 |
Frames, purchases |
293 |
265 |
$4K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
402 |
305 |
$4K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
59 |
52 |
$1K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
19 |
18 |
$229.50 |