| Code | Description | Claims | Beneficiaries | Total Paid |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,106 |
1,097 |
$77K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
836 |
818 |
$72K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
1,236 |
1,196 |
$31K |
| V2020 |
Frames, purchases |
1,465 |
1,421 |
$29K |
| 92015 |
Determination of refractive state |
2,165 |
2,141 |
$26K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,203 |
1,175 |
$12K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
16 |
14 |
$68.86 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
38 |
37 |
$0.00 |
| G8732 |
No documentation of pain assessment, reason not given |
37 |
36 |
$0.00 |