| Code | Description | Claims | Beneficiaries | Total Paid |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,275 |
2,089 |
$79K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,665 |
1,506 |
$68K |
| 92015 |
Determination of refractive state |
3,581 |
3,285 |
$64K |
| 92250 |
|
1,273 |
1,174 |
$41K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
280 |
266 |
$8K |
| 92285 |
|
47 |
44 |
$984.60 |
| V2020 |
Frames, purchases |
29 |
29 |
$375.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12 |
12 |
$260.10 |
| 99310 |
Prolong nursin fac eval 15m |
57 |
57 |
$128.20 |