| Code | Description | Claims | Beneficiaries | Total Paid |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
15,613 |
14,923 |
$1.76M |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
15,413 |
14,758 |
$1.42M |
| V2020 |
Frames, purchases |
26,202 |
24,429 |
$1.07M |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
11,917 |
11,212 |
$585K |
| 92015 |
Determination of refractive state |
32,755 |
31,294 |
$499K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
5,892 |
5,490 |
$277K |
| V2410 |
Variable asphericity lens, single vision, full field, glass or plastic, per lens |
1,002 |
932 |
$155K |
| V2755 |
U-v lens, per lens |
3,303 |
3,111 |
$93K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
892 |
827 |
$51K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
484 |
446 |
$22K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
256 |
244 |
$13K |
| V2107 |
Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens |
227 |
213 |
$12K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
261 |
203 |
$9K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
51 |
41 |
$3K |
| 92310 |
|
87 |
76 |
$1K |
| V2750 |
Anti-reflective coating, per lens |
43 |
41 |
$210.00 |
| V2781 |
Progressive lens, per lens |
12 |
12 |
$17.50 |