| Code | Description | Claims | Beneficiaries | Total Paid |
| V2020 |
Frames, purchases |
1,105 |
1,076 |
$36K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
945 |
798 |
$32K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
749 |
747 |
$22K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
332 |
330 |
$12K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
301 |
273 |
$8K |
| V2760 |
Scratch resistant coating, per lens |
314 |
293 |
$4K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
119 |
118 |
$4K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
107 |
103 |
$3K |
| 92015 |
Determination of refractive state |
502 |
389 |
$1K |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
123 |
123 |
$0.00 |
| G8731 |
Pain assessment using a standardized tool is documented as negative, no follow-up plan required |
96 |
96 |
$0.00 |