| Code | Description | Claims | Beneficiaries | Total Paid |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
23,325 |
12,556 |
$1.34M |
| 92065 |
|
15,808 |
6,726 |
$553K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,890 |
7,813 |
$422K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
4,531 |
4,451 |
$292K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
3,262 |
3,234 |
$208K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,027 |
1,001 |
$88K |
| 92015 |
Determination of refractive state |
9,464 |
9,346 |
$67K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
3,865 |
1,931 |
$53K |
| 92060 |
|
1,160 |
1,156 |
$52K |
| V2020 |
Frames, purchases |
4,196 |
4,052 |
$37K |
| V2500 |
Contact lens, pmma, spherical, per lens |
147 |
140 |
$33K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
860 |
821 |
$32K |
| 92250 |
|
808 |
787 |
$30K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
270 |
270 |
$22K |
| 92083 |
|
247 |
245 |
$13K |
| 92002 |
|
137 |
137 |
$8K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
64 |
64 |
$8K |
| 92133 |
|
239 |
237 |
$7K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
1,194 |
595 |
$6K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
35 |
29 |
$5K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
186 |
94 |
$4K |
| 92134 |
|
140 |
136 |
$4K |
| 92310 |
|
39 |
39 |
$2K |
| 92025 |
|
123 |
123 |
$2K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
182 |
91 |
$1K |
| 92226 |
|
47 |
24 |
$779.28 |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
24 |
24 |
$360.00 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
3,974 |
1,923 |
$247.00 |
| 92066 |
|
15 |
13 |
$237.38 |
| V2755 |
U-v lens, per lens |
54 |
27 |
$0.00 |