| Code | Description | Claims | Beneficiaries | Total Paid |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
394 |
376 |
$33K |
| V2020 |
Frames, purchases |
580 |
545 |
$27K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
223 |
214 |
$24K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
364 |
349 |
$9K |
| 92015 |
Determination of refractive state |
746 |
659 |
$8K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
36 |
13 |
$651.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
102 |
46 |
$0.00 |
| 1036F |
|
81 |
32 |
$0.00 |