| Code | Description | Claims | Beneficiaries | Total Paid |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
504 |
460 |
$47K |
| V2020 |
Frames, purchases |
661 |
614 |
$22K |
| 92015 |
Determination of refractive state |
778 |
697 |
$13K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
588 |
542 |
$10K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
301 |
286 |
$8K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
81 |
64 |
$8K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
345 |
334 |
$0.00 |
| 1036F |
|
99 |
76 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
36 |
33 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
14 |
12 |
$0.00 |