| Code | Description | Claims | Beneficiaries | Total Paid |
| V2020 |
Frames, purchases |
503 |
502 |
$16K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
79 |
79 |
$4K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
166 |
166 |
$3K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
96 |
96 |
$973.81 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
12 |
12 |
$0.00 |