| Code | Description | Claims | Beneficiaries | Total Paid |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
500 |
500 |
$3K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
181 |
181 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
819 |
777 |
$2K |
| 92015 |
Determination of refractive state |
1,308 |
1,308 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
313 |
310 |
$1K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
268 |
267 |
$885.49 |
| V2020 |
Frames, purchases |
29 |
29 |
$556.22 |
| 99490 |
Ccm add 20min |
1,088 |
1,052 |
$497.30 |
| 92002 |
|
59 |
59 |
$405.90 |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
15 |
15 |
$290.85 |
| 92250 |
|
53 |
53 |
$189.60 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
13 |
13 |
$0.00 |