| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,672 |
8,166 |
$446K |
| 92060 |
|
11,233 |
10,609 |
$376K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
2,270 |
2,140 |
$220K |
| 92015 |
Determination of refractive state |
9,460 |
8,929 |
$195K |
| V2020 |
Frames, purchases |
778 |
536 |
$31K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
240 |
227 |
$17K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
874 |
622 |
$12K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
877 |
632 |
$4K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
353 |
296 |
$3K |