| Code | Description | Claims | Beneficiaries | Total Paid |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
868 |
867 |
$36K |
| 92015 |
Determination of refractive state |
1,704 |
1,704 |
$15K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
124 |
124 |
$5K |
| V2020 |
Frames, purchases |
229 |
229 |
$5K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
101 |
101 |
$2K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
42 |
42 |
$2K |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
14 |
14 |
$0.00 |