| Code | Description | Claims | Beneficiaries | Total Paid |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
500 |
467 |
$21K |
| 92015 |
Determination of refractive state |
1,022 |
961 |
$8K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
31 |
30 |
$3K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
25 |
25 |
$791.01 |
| V2020 |
Frames, purchases |
28 |
27 |
$650.60 |
| 1036F |
|
46 |
44 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
74 |
71 |
$0.00 |