| Code | Description | Claims | Beneficiaries | Total Paid |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
367 |
364 |
$26K |
| 92015 |
Determination of refractive state |
665 |
659 |
$26K |
| V2020 |
Frames, purchases |
725 |
717 |
$25K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
405 |
399 |
$15K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
603 |
595 |
$10K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
15 |
15 |
$2K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
35 |
33 |
$1K |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
166 |
160 |
$0.00 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
402 |
397 |
$0.00 |