| Code | Description | Claims | Beneficiaries | Total Paid |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
21,313 |
20,931 |
$3.06M |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
24,606 |
24,352 |
$2.58M |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
16,176 |
15,982 |
$2.20M |
| 92060 |
|
25,079 |
24,542 |
$1.53M |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
25,133 |
11,727 |
$1.02M |
| V2020 |
Frames, purchases |
11,504 |
11,271 |
$737K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
7,454 |
4,803 |
$528K |
| 92015 |
Determination of refractive state |
42,572 |
42,031 |
$427K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
6,359 |
6,162 |
$420K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
5,600 |
3,727 |
$375K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,307 |
2,247 |
$201K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
877 |
865 |
$105K |
| V2107 |
Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens |
578 |
293 |
$53K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
293 |
284 |
$48K |
| V2105 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 4.25 to 6.00d cylinder, per lens |
204 |
147 |
$11K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
110 |
72 |
$6K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
41 |
41 |
$4K |
| 92133 |
|
72 |
72 |
$3K |
| V2108 |
Spherocylinder, single vision, plus or minus 4.25d to plus or minus 7.00d sphere, 2.12 to 4.00d cylinder, per lens |
38 |
26 |
$2K |
| 76516 |
|
27 |
27 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
42 |
40 |
$2K |
| 92002 |
|
13 |
13 |
$1K |
| 92285 |
|
79 |
72 |
$892.67 |