| Code | Description | Claims | Beneficiaries | Total Paid |
| 92015 |
Determination of refractive state |
1,143 |
1,094 |
$16K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
184 |
177 |
$14K |
| V2020 |
Frames, purchases |
505 |
471 |
$11K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
51 |
50 |
$3K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
101 |
63 |
$3K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
13 |
13 |
$1K |
| V2755 |
U-v lens, per lens |
92 |
85 |
$938.97 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
342 |
333 |
$0.00 |
| G9905 |
Patient not screened for tobacco use |
92 |
85 |
$0.00 |
| 1036F |
|
142 |
138 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
17 |
16 |
$0.00 |