| Code | Description | Claims | Beneficiaries | Total Paid |
| 92015 |
Determination of refractive state |
298 |
288 |
$5K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
39 |
37 |
$3K |
| V2101 |
Sphere, single vision, plus or minus 4.12 to plus or minus 7.00d, per lens |
25 |
12 |
$910.30 |
| V2020 |
Frames, purchases |
13 |
12 |
$785.70 |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
13 |
12 |
$275.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
122 |
122 |
$0.00 |
| G8442 |
Pain assessment not documented as being performed, documentation the patient is not eligible for a pain assessment using a standardized tool at the time of the encounter |
27 |
27 |
$0.00 |
| G9905 |
Patient not screened for tobacco use |
15 |
13 |
$0.00 |
| 1036F |
|
184 |
180 |
$0.00 |