| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,101 |
2,043 |
$89K |
| 92100 |
|
2,667 |
2,585 |
$68K |
| 92015 |
Determination of refractive state |
3,011 |
2,933 |
$60K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,055 |
1,972 |
$45K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
602 |
584 |
$27K |
| 92225 |
|
1,140 |
1,104 |
$18K |
| 92341 |
|
544 |
524 |
$13K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
170 |
167 |
$10K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
139 |
128 |
$6K |
| V2020 |
Frames, purchases |
123 |
121 |
$133.00 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
43 |
42 |
$30.00 |
| 92202 |
|
22 |
19 |
$12.50 |