| Code | Description | Claims | Beneficiaries | Total Paid |
| 92014 |
|
10,999 |
10,721 |
$490K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
8,343 |
8,128 |
$352K |
| 92015 |
|
13,202 |
12,790 |
$168K |
| 92004 |
|
1,672 |
1,579 |
$151K |
| 92012 |
|
4,316 |
4,014 |
$140K |
| V2020 |
Frames, purchases |
5,636 |
5,415 |
$101K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
2,247 |
2,194 |
$94K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
3,670 |
3,525 |
$81K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
674 |
651 |
$13K |
| V2025 |
Deluxe frame |
386 |
381 |
$10K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
133 |
133 |
$7K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
261 |
242 |
$5K |
| 92250 |
|
146 |
110 |
$2K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
13 |
13 |
$137.30 |
| 92083 |
|
16 |
13 |
$27.00 |
| 99442 |
|
15 |
15 |
$5.43 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
7,307 |
7,142 |
$0.00 |
| 2027F |
|
1,772 |
1,737 |
$0.00 |
| 5010F |
|
80 |
80 |
$0.00 |
| 2022F |
|
1,251 |
1,234 |
$0.00 |
| 99212 |
|
25 |
25 |
$0.00 |
| 3284F |
|
1,424 |
1,394 |
$0.00 |
| 1036F |
|
3,521 |
3,513 |
$0.00 |
| G8397 |
Dilated macular or fundus exam performed, including documentation of the presence or absence of macular edema and level of severity of retinopathy |
82 |
82 |
$0.00 |