| Code | Description | Claims | Beneficiaries | Total Paid |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
796 |
760 |
$15K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
203 |
197 |
$9K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
79 |
77 |
$4K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
85 |
72 |
$2K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
64 |
61 |
$2K |
| 92341 |
|
58 |
57 |
$1K |
| 92015 |
Determination of refractive state |
74 |
74 |
$737.78 |
| V2020 |
Frames, purchases |
12 |
12 |
$0.00 |