| Code | Description | Claims | Beneficiaries | Total Paid |
| 92015 |
Determination of refractive state |
1,487 |
1,344 |
$33K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
386 |
350 |
$26K |
| V2020 |
Frames, purchases |
881 |
775 |
$26K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
231 |
229 |
$20K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
631 |
625 |
$15K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
144 |
132 |
$8K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
368 |
207 |
$5K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
16 |
12 |
$1K |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
926 |
835 |
$9.74 |
| 1036F |
|
498 |
457 |
$0.00 |
| 4004F |
|
15 |
13 |
$0.00 |