| Code | Description | Claims | Beneficiaries | Total Paid |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,177 |
1,137 |
$69K |
| V2020 |
Frames, purchases |
2,593 |
1,567 |
$52K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
543 |
526 |
$32K |
| 92015 |
Determination of refractive state |
1,765 |
1,696 |
$7K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,434 |
1,410 |
$6K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
2,437 |
1,411 |
$5K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
41 |
29 |
$1K |
| G8428 |
Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given |
61 |
60 |
$0.00 |
| 92310 |
|
15 |
15 |
$0.00 |
| 92341 |
|
38 |
28 |
$0.00 |
| G8785 |
Blood pressure reading not documented, reason not given |
85 |
83 |
$0.00 |