| Code | Description | Claims | Beneficiaries | Total Paid |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,070 |
1,872 |
$79K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,025 |
1,819 |
$56K |
| 92015 |
Determination of refractive state |
2,821 |
2,573 |
$50K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
356 |
311 |
$15K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
95 |
91 |
$2K |
| V2020 |
Frames, purchases |
16 |
15 |
$260.00 |