| Code | Description | Claims | Beneficiaries | Total Paid |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
1,320 |
1,306 |
$45K |
| 92015 |
Determination of refractive state |
2,104 |
2,070 |
$33K |
| V2020 |
Frames, purchases |
639 |
626 |
$21K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
562 |
554 |
$20K |
| 92002 |
|
351 |
349 |
$14K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
355 |
346 |
$5K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
369 |
365 |
$1K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
82 |
80 |
$970.00 |
| V2756 |
Eye glass case |
699 |
686 |
$730.89 |
| 1036F |
|
297 |
297 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
157 |
157 |
$0.00 |
| G9905 |
Patient not screened for tobacco use |
303 |
301 |
$0.00 |