| Code | Description | Claims | Beneficiaries | Total Paid |
| 92250 |
|
1,731 |
1,721 |
$73K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,224 |
1,172 |
$62K |
| 92083 |
|
1,360 |
1,351 |
$60K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
1,406 |
1,284 |
$52K |
| 92060 |
|
1,377 |
1,370 |
$46K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
583 |
582 |
$41K |
| 92285 |
|
1,399 |
1,393 |
$37K |
| 92226 |
|
490 |
480 |
$12K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
379 |
195 |
$8K |
| 92202 |
|
577 |
324 |
$8K |
| V2020 |
Frames, purchases |
661 |
656 |
$7K |
| 92134 |
|
256 |
254 |
$7K |
| 92225 |
|
180 |
175 |
$5K |
| 92020 |
|
211 |
210 |
$3K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
27 |
27 |
$1K |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
15 |
15 |
$0.00 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
874 |
437 |
$0.00 |