| Code | Description | Claims | Beneficiaries | Total Paid |
| 92015 |
Determination of refractive state |
584 |
583 |
$20K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
256 |
255 |
$17K |
| V2020 |
Frames, purchases |
471 |
468 |
$16K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
247 |
246 |
$9K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
291 |
290 |
$5K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
25 |
25 |
$3K |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
68 |
67 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
12 |
12 |
$0.00 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
197 |
196 |
$0.00 |
| 1036F |
|
12 |
12 |
$0.00 |