| Code | Description | Claims | Beneficiaries | Total Paid |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
5,377 |
5,337 |
$287K |
| V2020 |
Frames, purchases |
2,664 |
2,617 |
$40K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
524 |
521 |
$33K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
1,081 |
539 |
$21K |
| 92015 |
Determination of refractive state |
2,303 |
2,139 |
$10K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
452 |
238 |
$9K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
392 |
391 |
$6K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
64 |
64 |
$4K |
| 92250 |
|
53 |
53 |
$2K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
4,258 |
2,103 |
$1K |
| 92341 |
|
53 |
53 |
$1K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
18 |
18 |
$720.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
155 |
152 |
$0.00 |
| G8731 |
Pain assessment using a standardized tool is documented as negative, no follow-up plan required |
63 |
63 |
$0.00 |