| Code | Description | Claims | Beneficiaries | Total Paid |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
393 |
379 |
$39K |
| V2020 |
Frames, purchases |
444 |
422 |
$15K |
| 92015 |
Determination of refractive state |
597 |
567 |
$14K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
333 |
317 |
$4K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
15 |
14 |
$553.52 |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
16 |
16 |
$495.04 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
13 |
13 |
$0.00 |
| 1036F |
|
275 |
254 |
$0.00 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
27 |
26 |
$0.00 |
| G8428 |
Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given |
105 |
95 |
$0.00 |