| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,574 |
5,335 |
$150K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,558 |
1,414 |
$105K |
| 92015 |
Determination of refractive state |
5,649 |
5,328 |
$99K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,612 |
4,255 |
$71K |
| 92250 |
|
3,142 |
3,037 |
$62K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,828 |
1,744 |
$51K |
| 92083 |
|
2,139 |
2,082 |
$31K |
| 92134 |
|
2,765 |
2,657 |
$24K |
| 92133 |
|
1,600 |
1,565 |
$15K |
| V2025 |
Deluxe frame |
189 |
158 |
$5K |
| V2020 |
Frames, purchases |
109 |
108 |
$4K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
126 |
106 |
$3K |
| 92341 |
|
85 |
84 |
$2K |
| 92020 |
|
280 |
278 |
$2K |