| Code | Description | Claims | Beneficiaries | Total Paid |
| V2020 |
Frames, purchases |
186 |
186 |
$6K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
87 |
87 |
$5K |
| 92015 |
Determination of refractive state |
296 |
294 |
$5K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
128 |
128 |
$3K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
52 |
48 |
$1K |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
52 |
51 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
32 |
31 |
$0.00 |