| Code | Description | Claims | Beneficiaries | Total Paid |
| 92015 |
Determination of refractive state |
2,974 |
2,781 |
$53K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,782 |
1,648 |
$52K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
1,132 |
1,035 |
$25K |
| 92002 |
|
754 |
670 |
$20K |
| V2025 |
Deluxe frame |
238 |
225 |
$13K |
| 92341 |
|
122 |
116 |
$3K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
214 |
117 |
$2K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
87 |
79 |
$431.43 |
| V2020 |
Frames, purchases |
13 |
13 |
$308.64 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
101 |
98 |
$0.00 |
| G8785 |
Blood pressure reading not documented, reason not given |
12 |
12 |
$0.00 |
| 1036F |
|
39 |
37 |
$0.00 |