| Code | Description | Claims | Beneficiaries | Total Paid |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
111 |
111 |
$9K |
| 92015 |
Determination of refractive state |
231 |
231 |
$9K |
| V2020 |
Frames, purchases |
217 |
217 |
$8K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
76 |
76 |
$3K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
103 |
103 |
$1K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
41 |
41 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
87 |
87 |
$0.00 |