| Code | Description | Claims | Beneficiaries | Total Paid |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,054 |
978 |
$56K |
| 92015 |
Determination of refractive state |
1,617 |
1,514 |
$22K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
250 |
226 |
$20K |
| V2020 |
Frames, purchases |
514 |
467 |
$12K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
60 |
56 |
$1K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
77 |
60 |
$958.20 |
| V2756 |
Eye glass case |
340 |
308 |
$302.45 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
209 |
197 |
$0.00 |