| Code | Description | Claims | Beneficiaries | Total Paid |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,308 |
1,188 |
$111K |
| 92250 |
|
1,944 |
1,786 |
$81K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
1,007 |
898 |
$47K |
| V2020 |
Frames, purchases |
1,762 |
1,567 |
$46K |
| 92015 |
Determination of refractive state |
2,083 |
1,883 |
$29K |
| V2755 |
U-v lens, per lens |
1,083 |
980 |
$25K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
173 |
167 |
$19K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
54 |
50 |
$4K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
71 |
57 |
$3K |
| 92060 |
|
46 |
37 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
81 |
71 |
$2K |
| V2715 |
Prism, per lens |
32 |
26 |
$707.52 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
31 |
27 |
$0.00 |