| Code | Description | Claims | Beneficiaries | Total Paid |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
7,617 |
6,043 |
$334K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,693 |
1,348 |
$98K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
2,328 |
2,086 |
$54K |
| V2020 |
Frames, purchases |
3,724 |
3,364 |
$50K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,666 |
1,547 |
$18K |
| 92015 |
Determination of refractive state |
7,732 |
6,041 |
$13K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
145 |
123 |
$4K |
| 92250 |
|
197 |
147 |
$3K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
113 |
78 |
$3K |
| V2799 |
Vision item or service, miscellaneous |
415 |
351 |
$3K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
78 |
78 |
$1K |
| 92134 |
|
63 |
37 |
$271.80 |
| 92083 |
|
17 |
12 |
$247.10 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
75 |
62 |
$0.00 |