| Code | Description | Claims | Beneficiaries | Total Paid |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,061 |
2,005 |
$133K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,336 |
1,305 |
$107K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
895 |
798 |
$45K |
| V2020 |
Frames, purchases |
865 |
825 |
$38K |
| 92015 |
Determination of refractive state |
4,028 |
3,774 |
$19K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
419 |
228 |
$11K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,081 |
1,076 |
$7K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
168 |
125 |
$6K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
201 |
90 |
$4K |
| 92134 |
|
171 |
132 |
$2K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
31 |
25 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
14 |
12 |
$581.33 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
15 |
12 |
$0.00 |