| Code | Description | Claims | Beneficiaries | Total Paid |
| 92015 |
Determination of refractive state |
574 |
441 |
$17K |
| V2020 |
Frames, purchases |
375 |
291 |
$10K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
599 |
480 |
$6K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
43 |
42 |
$4K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
101 |
69 |
$3K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
42 |
31 |
$3K |
| 83861 |
|
413 |
196 |
$3K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
56 |
27 |
$0.00 |
| 1036F |
|
13 |
12 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
26 |
24 |
$0.00 |