| Code | Description | Claims | Beneficiaries | Total Paid |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
4,756 |
4,180 |
$205K |
| 92015 |
Determination of refractive state |
9,416 |
8,057 |
$159K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
5,513 |
4,764 |
$156K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
3,237 |
2,841 |
$145K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
3,512 |
3,042 |
$104K |
| 92250 |
|
2,589 |
2,296 |
$100K |
| 83861 |
|
4,397 |
2,391 |
$76K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,275 |
2,059 |
$71K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
1,322 |
1,156 |
$71K |
| V2025 |
Deluxe frame |
1,184 |
1,026 |
$31K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
709 |
610 |
$31K |
| V2020 |
Frames, purchases |
749 |
723 |
$24K |
| 68761 |
|
370 |
205 |
$22K |
| 92002 |
|
740 |
638 |
$20K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
538 |
490 |
$12K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
224 |
224 |
$10K |
| 92285 |
|
280 |
209 |
$8K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
127 |
100 |
$8K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
772 |
742 |
$8K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
106 |
106 |
$5K |
| 92133 |
|
178 |
174 |
$4K |
| 92341 |
|
143 |
112 |
$4K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
19 |
15 |
$4K |
| 92273 |
|
58 |
58 |
$4K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
270 |
243 |
$3K |
| 92025 |
|
154 |
146 |
$2K |
| 92083 |
|
61 |
51 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
32 |
26 |
$1K |
| 76514 |
|
77 |
71 |
$478.11 |
| V2750 |
Anti-reflective coating, per lens |
48 |
36 |
$0.00 |