| Code | Description | Claims | Beneficiaries | Total Paid |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,450 |
3,419 |
$199K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,930 |
1,904 |
$109K |
| 92250 |
|
3,384 |
3,354 |
$104K |
| V2020 |
Frames, purchases |
5,365 |
5,101 |
$80K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,132 |
1,008 |
$49K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
2,179 |
1,942 |
$48K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
1,069 |
967 |
$47K |
| 92060 |
|
1,249 |
1,245 |
$44K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
1,823 |
1,644 |
$30K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
541 |
488 |
$13K |
| 76512 |
|
387 |
387 |
$13K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
2,290 |
1,811 |
$10K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
222 |
218 |
$8K |
| 92285 |
|
222 |
221 |
$4K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
55 |
55 |
$4K |
| 92133 |
|
185 |
185 |
$4K |
| 92202 |
|
464 |
454 |
$4K |
| 92225 |
|
262 |
219 |
$3K |
| 92226 |
|
197 |
173 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
16 |
16 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
14 |
13 |
$300.88 |
| 92015 |
Determination of refractive state |
994 |
984 |
$178.55 |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
46 |
45 |
$30.00 |
| 92025 |
|
37 |
34 |
$0.00 |
| 92273 |
|
17 |
17 |
$0.00 |