| Code | Description | Claims | Beneficiaries | Total Paid |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
568 |
512 |
$30K |
| 92015 |
Determination of refractive state |
1,407 |
1,272 |
$23K |
| V2020 |
Frames, purchases |
420 |
387 |
$13K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
355 |
323 |
$9K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
54 |
54 |
$4K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
402 |
370 |
$2K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
65 |
64 |
$1K |
| 92250 |
|
18 |
13 |
$232.29 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
142 |
128 |
$0.00 |
| 1036F |
|
128 |
120 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
15 |
14 |
$0.00 |