| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
867 |
677 |
$29K |
| 92015 |
Determination of refractive state |
1,017 |
814 |
$28K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
1,153 |
812 |
$28K |
| 92285 |
|
1,524 |
1,038 |
$23K |
| 68761 |
|
537 |
210 |
$20K |
| V2020 |
Frames, purchases |
947 |
741 |
$19K |
| 92083 |
|
612 |
484 |
$19K |
| 92250 |
|
609 |
462 |
$17K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
383 |
322 |
$15K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
449 |
361 |
$11K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
624 |
497 |
$10K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
142 |
115 |
$7K |
| 92283 |
|
274 |
224 |
$4K |
| 92133 |
|
186 |
154 |
$4K |
| 92273 |
|
47 |
44 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
156 |
125 |
$3K |
| 92020 |
|
183 |
158 |
$2K |
| 76514 |
|
98 |
90 |
$548.00 |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
19 |
12 |
$499.00 |
| 92341 |
|
34 |
24 |
$465.69 |