| Code | Description | Claims | Beneficiaries | Total Paid |
| 92015 |
Determination of refractive state |
26,329 |
21,159 |
$643K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
17,917 |
14,988 |
$558K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
7,458 |
6,077 |
$334K |
| V2020 |
Frames, purchases |
10,321 |
9,841 |
$287K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
8,297 |
7,919 |
$173K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
8,531 |
4,827 |
$141K |
| S0580 |
Polycarbonate lens (list this code in addition to the basic code for the lens) |
4,696 |
4,484 |
$128K |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
1,059 |
656 |
$89K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,012 |
2,208 |
$41K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
2,304 |
1,692 |
$31K |
| 92136 |
|
1,761 |
1,498 |
$20K |
| 66982 |
|
91 |
71 |
$17K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
766 |
497 |
$11K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
440 |
246 |
$10K |
| 92133 |
|
834 |
656 |
$9K |
| 92341 |
|
359 |
349 |
$9K |
| 92083 |
|
406 |
370 |
$8K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
525 |
413 |
$6K |
| 92134 |
|
657 |
343 |
$4K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
122 |
93 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
39 |
27 |
$1K |
| 92002 |
|
47 |
26 |
$731.51 |
| 92250 |
|
12 |
12 |
$159.87 |