| Code | Description | Claims | Beneficiaries | Total Paid |
| 92015 |
Determination of refractive state |
5,082 |
4,946 |
$177K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,270 |
3,187 |
$143K |
| V2020 |
Frames, purchases |
2,104 |
2,045 |
$60K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
504 |
484 |
$31K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,261 |
1,234 |
$27K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
815 |
794 |
$25K |
| 92250 |
|
508 |
491 |
$16K |
| S0580 |
Polycarbonate lens (list this code in addition to the basic code for the lens) |
255 |
243 |
$7K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
140 |
125 |
$2K |