| Code | Description | Claims | Beneficiaries | Total Paid |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,975 |
1,920 |
$41K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
277 |
276 |
$12K |
| 92015 |
Determination of refractive state |
796 |
787 |
$12K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
192 |
192 |
$9K |
| V2020 |
Frames, purchases |
2,420 |
2,359 |
$5K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
465 |
460 |
$4K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
2,209 |
2,156 |
$1K |
| 92341 |
|
35 |
31 |
$916.97 |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
15 |
14 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
44 |
44 |
$0.00 |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
1,298 |
1,268 |
$0.00 |