| Code | Description | Claims | Beneficiaries | Total Paid |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
951 |
948 |
$32K |
| V2020 |
Frames, purchases |
892 |
889 |
$17K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
492 |
492 |
$17K |
| 92015 |
Determination of refractive state |
2,363 |
2,354 |
$17K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
609 |
607 |
$10K |
| 92250 |
|
80 |
78 |
$2K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
14 |
14 |
$194.15 |