| Code | Description | Claims | Beneficiaries | Total Paid |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
662 |
637 |
$51K |
| 92015 |
Determination of refractive state |
1,363 |
1,319 |
$14K |
| V2020 |
Frames, purchases |
436 |
430 |
$12K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
89 |
89 |
$10K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
140 |
133 |
$3K |
| 1036F |
|
163 |
153 |
$0.00 |
| G8785 |
Blood pressure reading not documented, reason not given |
57 |
54 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
178 |
167 |
$0.00 |