| Code | Description | Claims | Beneficiaries | Total Paid |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
807 |
772 |
$55K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
422 |
416 |
$40K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
681 |
645 |
$24K |
| V2020 |
Frames, purchases |
862 |
732 |
$13K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
663 |
597 |
$12K |
| 92015 |
Determination of refractive state |
648 |
630 |
$9K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
224 |
205 |
$4K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
84 |
82 |
$2K |
| V2760 |
Scratch resistant coating, per lens |
75 |
73 |
$2K |
| 92370 |
|
28 |
27 |
$790.25 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
554 |
532 |
$0.00 |
| G8428 |
Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given |
236 |
214 |
$0.00 |
| 1036F |
|
736 |
693 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
152 |
141 |
$0.00 |