| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,591 |
4,419 |
$256K |
| V2020 |
Frames, purchases |
5,015 |
4,969 |
$147K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,703 |
1,679 |
$136K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,816 |
1,789 |
$99K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,927 |
1,869 |
$78K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
3,970 |
3,929 |
$73K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
842 |
834 |
$68K |
| 92015 |
Determination of refractive state |
6,716 |
6,629 |
$68K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
2,799 |
2,766 |
$39K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
747 |
737 |
$32K |
| 92083 |
|
936 |
922 |
$28K |
| 92133 |
|
781 |
769 |
$12K |
| 92250 |
|
406 |
399 |
$8K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
125 |
125 |
$5K |
| 92060 |
|
168 |
167 |
$5K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
474 |
471 |
$5K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
302 |
302 |
$5K |
| 92134 |
|
178 |
178 |
$3K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
62 |
60 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
27 |
26 |
$1K |
| 92341 |
|
25 |
25 |
$450.60 |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
12 |
12 |
$172.78 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
24 |
24 |
$0.00 |