| Code | Description | Claims | Beneficiaries | Total Paid |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
19,454 |
18,989 |
$1.97M |
| 92060 |
|
31,453 |
30,554 |
$1.64M |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
9,713 |
9,502 |
$1.19M |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
27,345 |
26,332 |
$710K |
| 92250 |
|
9,146 |
8,657 |
$558K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
7,577 |
6,901 |
$530K |
| 92015 |
Determination of refractive state |
29,667 |
28,945 |
$464K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
16,377 |
15,805 |
$327K |
| V2025 |
Deluxe frame |
7,067 |
6,931 |
$276K |
| 92285 |
|
17,277 |
15,997 |
$264K |
| V2020 |
Frames, purchases |
19,150 |
18,392 |
$263K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
7,413 |
7,149 |
$147K |
| 67311 |
|
302 |
156 |
$141K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
3,213 |
3,118 |
$66K |
| V2105 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 4.25 to 6.00d cylinder, per lens |
1,378 |
1,321 |
$37K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
404 |
390 |
$35K |
| V2107 |
Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens |
1,383 |
1,338 |
$30K |
| V2108 |
Spherocylinder, single vision, plus or minus 4.25d to plus or minus 7.00d sphere, 2.12 to 4.00d cylinder, per lens |
1,064 |
1,028 |
$22K |
| 92002 |
|
259 |
249 |
$18K |
| V2109 |
Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00d sphere, 4.25 to 6.00d cylinder, per lens |
314 |
301 |
$10K |
| 92133 |
|
243 |
227 |
$8K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
86 |
81 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
35 |
34 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
38 |
33 |
$16.65 |
| 99024 |
|
627 |
448 |
$0.00 |