| Code | Description | Claims | Beneficiaries | Total Paid |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,306 |
1,235 |
$59K |
| 92015 |
Determination of refractive state |
1,574 |
1,437 |
$53K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
232 |
203 |
$6K |
| V2020 |
Frames, purchases |
144 |
138 |
$4K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
139 |
132 |
$3K |
| 92083 |
|
64 |
44 |
$1K |
| 92133 |
|
59 |
40 |
$841.03 |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
33 |
26 |
$754.65 |
| 92020 |
|
15 |
12 |
$156.75 |