| Code | Description | Claims | Beneficiaries | Total Paid |
| 92015 |
Determination of refractive state |
12,579 |
10,771 |
$394K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
6,763 |
6,145 |
$290K |
| V2020 |
Frames, purchases |
6,478 |
6,027 |
$176K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,875 |
1,723 |
$112K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
5,479 |
5,005 |
$107K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
3,653 |
3,435 |
$98K |
| S0580 |
Polycarbonate lens (list this code in addition to the basic code for the lens) |
2,785 |
2,615 |
$76K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
983 |
819 |
$31K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
807 |
762 |
$17K |
| 92250 |
|
446 |
404 |
$13K |
| 92083 |
|
380 |
330 |
$10K |
| 92273 |
|
124 |
103 |
$5K |
| 92341 |
|
153 |
138 |
$3K |
| 92226 |
|
266 |
254 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
109 |
87 |
$2K |
| 92145 |
|
281 |
262 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
26 |
24 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
100 |
72 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
35 |
29 |
$2K |
| 92202 |
|
243 |
226 |
$1K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
37 |
28 |
$1K |
| 92133 |
|
43 |
37 |
$768.46 |
| 92225 |
|
51 |
45 |
$761.78 |
| 83861 |
|
61 |
26 |
$695.80 |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
12 |
12 |
$280.80 |
| 96136 |
|
315 |
304 |
$0.00 |
| 99072 |
|
327 |
320 |
$0.00 |