| Code | Description | Claims | Beneficiaries | Total Paid |
| V2020 |
Frames, purchases |
2,055 |
2,054 |
$30K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,513 |
1,512 |
$21K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
826 |
826 |
$19K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
465 |
464 |
$14K |
| 92015 |
Determination of refractive state |
2,349 |
2,347 |
$12K |
| 92341 |
|
327 |
327 |
$8K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
12 |
12 |
$243.96 |