| Code | Description | Claims | Beneficiaries | Total Paid |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
3,247 |
2,784 |
$94K |
| 92015 |
Determination of refractive state |
4,145 |
3,579 |
$72K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,393 |
1,119 |
$60K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,283 |
1,153 |
$58K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,215 |
1,133 |
$53K |
| 92285 |
|
1,669 |
1,326 |
$47K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
712 |
564 |
$45K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
1,407 |
1,183 |
$34K |
| V2025 |
Deluxe frame |
1,264 |
1,039 |
$29K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
278 |
250 |
$7K |
| 92341 |
|
145 |
130 |
$4K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
85 |
85 |
$4K |
| V2020 |
Frames, purchases |
348 |
343 |
$3K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
399 |
354 |
$1K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
29 |
29 |
$1K |
| 2022F |
|
13 |
12 |
$0.00 |