| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,736 |
1,685 |
$130K |
| V2020 |
Frames, purchases |
6,219 |
5,890 |
$92K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
833 |
811 |
$90K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
6,933 |
5,646 |
$61K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
498 |
498 |
$53K |
| 92250 |
|
836 |
834 |
$38K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
886 |
853 |
$29K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
158 |
158 |
$26K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
6,230 |
5,018 |
$25K |
| 92083 |
|
316 |
313 |
$18K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
467 |
447 |
$16K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
183 |
176 |
$7K |
| V2781 |
Progressive lens, per lens |
498 |
345 |
$5K |
| 92015 |
Determination of refractive state |
719 |
660 |
$4K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
249 |
222 |
$3K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
200 |
199 |
$2K |
| 92310 |
|
28 |
26 |
$1K |
| 76514 |
|
101 |
101 |
$1K |
| V2520 |
Contact lens, hydrophilic, spherical, per lens |
13 |
13 |
$951.20 |
| 92020 |
|
12 |
12 |
$252.00 |
| V2300 |
Sphere, trifocal, plano to plus or minus 4.00d, per lens |
13 |
13 |
$205.00 |
| V2750 |
Anti-reflective coating, per lens |
1,877 |
1,472 |
$0.00 |
| 99072 |
|
40 |
40 |
$0.00 |
| V2744 |
Tint, photochromatic, per lens |
142 |
129 |
$0.00 |
| V2799 |
Vision item or service, miscellaneous |
13 |
12 |
$0.00 |