| Code | Description | Claims | Beneficiaries | Total Paid |
| V2020 |
Frames, purchases |
400 |
394 |
$17K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
394 |
386 |
$7K |
| 3072F |
|
530 |
526 |
$5K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
117 |
114 |
$4K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
30 |
30 |
$900.00 |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
12 |
12 |
$616.98 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
638 |
628 |
$0.00 |
| 5010F |
|
14 |
14 |
$0.00 |
| G8397 |
Dilated macular or fundus exam performed, including documentation of the presence or absence of macular edema and level of severity of retinopathy |
14 |
14 |
$0.00 |