| Code | Description | Claims | Beneficiaries | Total Paid |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
5,231 |
4,989 |
$362K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
3,182 |
3,030 |
$270K |
| V2020 |
Frames, purchases |
8,657 |
7,893 |
$150K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
5,425 |
4,969 |
$85K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
6,797 |
6,272 |
$83K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
955 |
836 |
$43K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
654 |
574 |
$23K |
| 92250 |
|
796 |
677 |
$22K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,221 |
1,158 |
$14K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
156 |
146 |
$9K |
| 92015 |
Determination of refractive state |
8,685 |
8,066 |
$7K |
| 92083 |
|
181 |
167 |
$7K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
469 |
439 |
$6K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
473 |
428 |
$6K |
| V2799 |
Vision item or service, miscellaneous |
224 |
203 |
$3K |
| 92133 |
|
132 |
126 |
$3K |
| 68761 |
|
31 |
13 |
$2K |
| V2107 |
Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens |
83 |
78 |
$1K |
| 92134 |
|
105 |
82 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$1K |
| 92060 |
|
21 |
21 |
$440.97 |
| 92285 |
|
14 |
12 |
$206.67 |
| 92341 |
|
12 |
12 |
$148.32 |
| 3072F |
|
53 |
46 |
$0.00 |