| Code | Description | Claims | Beneficiaries | Total Paid |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,751 |
1,719 |
$73K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,477 |
1,458 |
$66K |
| 92015 |
Determination of refractive state |
2,951 |
2,891 |
$54K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,580 |
1,545 |
$46K |
| V2025 |
Deluxe frame |
746 |
716 |
$25K |
| 92341 |
|
452 |
359 |
$13K |
| V2020 |
Frames, purchases |
1,233 |
1,140 |
$11K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
374 |
360 |
$10K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
874 |
849 |
$9K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
875 |
837 |
$9K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
417 |
412 |
$4K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
313 |
241 |
$4K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
53 |
52 |
$2K |
| 92134 |
|
79 |
79 |
$2K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
34 |
34 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
36 |
35 |
$1K |
| 92133 |
|
38 |
38 |
$906.90 |
| V2107 |
Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens |
80 |
72 |
$771.97 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
34 |
31 |
$724.00 |
| 92083 |
|
12 |
12 |
$403.32 |
| 92310 |
|
13 |
13 |
$378.50 |
| V2782 |
Lens, index 1.54 to 1.65 plastic or 1.60 to 1.79 glass, excludes polycarbonate, per lens |
325 |
259 |
$156.42 |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
12 |
12 |
$109.29 |
| 3072F |
|
56 |
55 |
$0.00 |