| Code | Description | Claims | Beneficiaries | Total Paid |
| 92015 |
Determination of refractive state |
12,819 |
12,004 |
$454K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,497 |
5,795 |
$343K |
| V2020 |
Frames, purchases |
11,096 |
10,372 |
$304K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
3,477 |
3,303 |
$285K |
| 92250 |
|
4,836 |
4,634 |
$188K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
6,231 |
5,567 |
$175K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,594 |
3,425 |
$166K |
| S0580 |
Polycarbonate lens (list this code in addition to the basic code for the lens) |
5,290 |
5,051 |
$147K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
6,546 |
6,134 |
$133K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
2,543 |
2,259 |
$105K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,009 |
954 |
$64K |
| 92083 |
|
1,366 |
1,288 |
$52K |
| 92341 |
|
2,044 |
1,889 |
$45K |
| 95930 |
|
711 |
689 |
$40K |
| 92273 |
|
472 |
459 |
$35K |
| 83861 |
|
2,498 |
1,200 |
$33K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
1,389 |
1,271 |
$30K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
1,056 |
948 |
$26K |
| 92133 |
|
960 |
919 |
$22K |
| 92274 |
|
429 |
415 |
$20K |
| 92145 |
|
1,477 |
1,297 |
$14K |
| 92275 |
|
238 |
234 |
$14K |
| V2107 |
Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens |
52 |
51 |
$2K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
48 |
41 |
$1K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
14 |
13 |
$396.80 |