| Code | Description | Claims | Beneficiaries | Total Paid |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
522 |
458 |
$44K |
| V2020 |
Frames, purchases |
299 |
249 |
$16K |
| V2199 |
Not otherwise classified, single vision lens |
152 |
124 |
$9K |
| 92015 |
Determination of refractive state |
871 |
654 |
$8K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
60 |
53 |
$7K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
14 |
13 |
$841.62 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
12 |
12 |
$0.00 |
| 1036F |
|
14 |
13 |
$0.00 |