| Code | Description | Claims | Beneficiaries | Total Paid |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
961 |
959 |
$38K |
| 92250 |
|
678 |
674 |
$26K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
669 |
664 |
$23K |
| V2020 |
Frames, purchases |
1,075 |
1,071 |
$21K |
| 92083 |
|
634 |
631 |
$16K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
913 |
910 |
$16K |
| 92015 |
Determination of refractive state |
1,145 |
1,142 |
$9K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
156 |
156 |
$6K |