| Code | Description | Claims | Beneficiaries | Total Paid |
| V2020 |
Frames, purchases |
315 |
305 |
$24K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
142 |
130 |
$15K |
| 92250 |
|
345 |
323 |
$10K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
129 |
77 |
$3K |
| 92015 |
Determination of refractive state |
94 |
88 |
$2K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
13 |
13 |
$1K |
| 1036F |
|
199 |
189 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
355 |
333 |
$0.00 |