| Code | Description | Claims | Beneficiaries | Total Paid |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,486 |
2,311 |
$150K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,769 |
1,622 |
$130K |
| V2499 |
Variable sphericity lens, other type |
1,605 |
1,500 |
$124K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
3,878 |
3,577 |
$63K |
| 92250 |
|
1,042 |
974 |
$40K |
| V2750 |
Anti-reflective coating, per lens |
411 |
392 |
$37K |
| 92015 |
Determination of refractive state |
4,414 |
4,086 |
$34K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
466 |
448 |
$13K |
| V2020 |
Frames, purchases |
723 |
695 |
$13K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
1,080 |
1,032 |
$5K |
| V2755 |
U-v lens, per lens |
722 |
692 |
$3K |