| Code | Description | Claims | Beneficiaries | Total Paid |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,247 |
2,161 |
$149K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,956 |
2,428 |
$79K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
1,087 |
1,058 |
$49K |
| 92015 |
Determination of refractive state |
4,590 |
4,207 |
$35K |
| V2020 |
Frames, purchases |
509 |
491 |
$30K |
| S0580 |
Polycarbonate lens (list this code in addition to the basic code for the lens) |
407 |
402 |
$14K |
| 92133 |
|
469 |
403 |
$11K |
| 92082 |
|
337 |
300 |
$11K |
| 92002 |
|
217 |
213 |
$11K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
167 |
162 |
$7K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
117 |
109 |
$7K |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
730 |
398 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
27 |
24 |
$1K |
| 92083 |
|
33 |
28 |
$1K |
| 1036F |
|
185 |
161 |
$536.82 |