| Code | Description | Claims | Beneficiaries | Total Paid |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,541 |
2,450 |
$182K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
2,940 |
2,650 |
$55K |
| V2020 |
Frames, purchases |
3,910 |
3,688 |
$53K |
| 92015 |
Determination of refractive state |
3,062 |
2,933 |
$40K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
409 |
398 |
$35K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
2,668 |
2,503 |
$35K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
502 |
461 |
$11K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
896 |
863 |
$10K |
| 92133 |
|
219 |
205 |
$2K |
| V2799 |
Vision item or service, miscellaneous |
66 |
65 |
$933.66 |
| 92250 |
|
16 |
16 |
$442.91 |
| 92285 |
|
39 |
36 |
$435.98 |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
17 |
16 |
$284.45 |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
14 |
13 |
$183.35 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
355 |
322 |
$0.00 |
| 3072F |
|
1,120 |
1,060 |
$0.00 |
| 1036F |
|
201 |
186 |
$0.00 |
| 2033F |
|
14 |
13 |
$0.00 |