| Code | Description | Claims | Beneficiaries | Total Paid |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
4,218 |
4,025 |
$296K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,336 |
1,287 |
$113K |
| 92250 |
|
3,892 |
3,682 |
$102K |
| 92015 |
Determination of refractive state |
6,029 |
5,832 |
$78K |
| V2020 |
Frames, purchases |
2,871 |
2,738 |
$76K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
434 |
409 |
$19K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
571 |
549 |
$16K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
146 |
126 |
$8K |
| 92083 |
|
310 |
289 |
$7K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
35 |
33 |
$96.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
15 |
12 |
$0.00 |