| Code | Description | Claims | Beneficiaries | Total Paid |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,547 |
2,468 |
$203K |
| 92015 |
Determination of refractive state |
3,808 |
3,702 |
$46K |
| V2020 |
Frames, purchases |
1,156 |
1,098 |
$36K |
| 92342 |
|
919 |
867 |
$22K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
171 |
169 |
$13K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
285 |
198 |
$10K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
434 |
302 |
$8K |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
32 |
30 |
$0.00 |
| 1036F |
|
176 |
171 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
227 |
215 |
$0.00 |