| Code | Description | Claims | Beneficiaries | Total Paid |
| 92250 |
|
8,529 |
7,676 |
$282K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
6,140 |
5,621 |
$234K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
4,782 |
4,282 |
$207K |
| 92015 |
Determination of refractive state |
11,022 |
10,054 |
$189K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
4,762 |
4,148 |
$133K |
| V2020 |
Frames, purchases |
2,734 |
2,631 |
$101K |
| 92341 |
|
1,710 |
1,492 |
$46K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,055 |
937 |
$44K |
| 92083 |
|
1,466 |
1,384 |
$34K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
800 |
708 |
$27K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
673 |
637 |
$23K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
658 |
572 |
$20K |
| 92273 |
|
318 |
307 |
$17K |
| 92133 |
|
506 |
474 |
$10K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
738 |
709 |
$7K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
710 |
679 |
$7K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
43 |
39 |
$3K |
| V2025 |
Deluxe frame |
135 |
128 |
$2K |
| 92284 |
|
86 |
83 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
26 |
24 |
$666.21 |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
40 |
28 |
$398.71 |
| 92285 |
|
15 |
13 |
$337.89 |
| 92002 |
|
15 |
12 |
$219.66 |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
12 |
12 |
$89.97 |
| 76514 |
|
20 |
17 |
$64.75 |
| 2026F |
|
15 |
15 |
$0.00 |