| Code | Description | Claims | Beneficiaries | Total Paid |
| V2020 |
Frames, purchases |
990 |
913 |
$64K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
593 |
544 |
$50K |
| 92250 |
|
972 |
875 |
$18K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
578 |
327 |
$12K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
59 |
58 |
$7K |
| 92015 |
Determination of refractive state |
393 |
387 |
$7K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
37 |
37 |
$1K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
14 |
12 |
$892.87 |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
22 |
12 |
$74.40 |
| 1036F |
|
659 |
612 |
$0.00 |
| 1034F |
|
27 |
26 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
697 |
651 |
$0.00 |