| Code | Description | Claims | Beneficiaries | Total Paid |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
14,758 |
14,679 |
$536K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
11,979 |
11,908 |
$458K |
| V2020 |
Frames, purchases |
15,123 |
15,074 |
$305K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
10,815 |
10,787 |
$221K |
| 92015 |
Determination of refractive state |
26,737 |
26,554 |
$204K |
| 92341 |
|
3,831 |
3,818 |
$116K |
| 92250 |
|
1,060 |
810 |
$40K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
908 |
891 |
$21K |
| 92225 |
|
251 |
123 |
$12K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
169 |
169 |
$9K |