| Code | Description | Claims | Beneficiaries | Total Paid |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
15,258 |
14,568 |
$1.62M |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
13,319 |
12,676 |
$1.17M |
| V2020 |
Frames, purchases |
29,778 |
27,894 |
$1.07M |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
14,471 |
13,590 |
$639K |
| 92015 |
Determination of refractive state |
32,303 |
30,906 |
$447K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
3,940 |
3,665 |
$145K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
2,458 |
2,255 |
$114K |
| V2410 |
Variable asphericity lens, single vision, full field, glass or plastic, per lens |
627 |
551 |
$104K |
| V2755 |
U-v lens, per lens |
3,897 |
3,553 |
$103K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
1,196 |
1,119 |
$44K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
348 |
268 |
$15K |
| 92002 |
|
886 |
886 |
$14K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
619 |
585 |
$14K |
| V2107 |
Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens |
342 |
334 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
25 |
18 |
$1K |
| 92310 |
|
16 |
16 |
$405.00 |
| V2750 |
Anti-reflective coating, per lens |
52 |
49 |
$280.00 |
| V2101 |
Sphere, single vision, plus or minus 4.12 to plus or minus 7.00d, per lens |
13 |
12 |
$0.00 |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
342 |
341 |
$0.00 |