| Code | Description | Claims | Beneficiaries | Total Paid |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
3,250 |
2,980 |
$95K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,189 |
2,018 |
$90K |
| 92015 |
Determination of refractive state |
3,132 |
2,869 |
$56K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
979 |
909 |
$43K |
| 92250 |
|
114 |
108 |
$5K |
| V2020 |
Frames, purchases |
91 |
78 |
$2K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
24 |
12 |
$192.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
205 |
201 |
$0.01 |
| 3072F |
|
317 |
309 |
$0.00 |