| Code | Description | Claims | Beneficiaries | Total Paid |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
13,809 |
12,885 |
$1.61M |
| V2020 |
Frames, purchases |
27,189 |
24,530 |
$1.21M |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
10,845 |
10,040 |
$1.04M |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
13,668 |
12,305 |
$704K |
| 92015 |
Determination of refractive state |
25,439 |
23,526 |
$391K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
3,497 |
3,087 |
$256K |
| V2410 |
Variable asphericity lens, single vision, full field, glass or plastic, per lens |
1,472 |
1,150 |
$216K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
4,146 |
3,758 |
$190K |
| V2755 |
U-v lens, per lens |
5,358 |
4,692 |
$147K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
1,355 |
1,009 |
$56K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
866 |
778 |
$39K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
382 |
353 |
$24K |
| V2107 |
Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens |
422 |
376 |
$23K |
| 92310 |
|
98 |
86 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14 |
12 |
$1K |