| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,394 |
3,225 |
$159K |
| 92065 |
|
10,539 |
3,227 |
$91K |
| 99070 |
|
2,329 |
877 |
$33K |
| 92015 |
Determination of refractive state |
1,573 |
711 |
$25K |
| 92060 |
|
1,681 |
762 |
$20K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
533 |
229 |
$11K |
| S0580 |
Polycarbonate lens (list this code in addition to the basic code for the lens) |
1,320 |
327 |
$9K |
| V2020 |
Frames, purchases |
312 |
134 |
$4K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
231 |
79 |
$3K |
| 99215 |
Prolong outpt/office vis |
96 |
27 |
$3K |
| 92341 |
|
141 |
64 |
$1K |
| V2715 |
Prism, per lens |
485 |
113 |
$984.47 |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
36 |
12 |
$626.58 |