| Code | Description | Claims | Beneficiaries | Total Paid |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,613 |
1,561 |
$115K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
1,706 |
1,649 |
$102K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
2,208 |
2,122 |
$86K |
| V2020 |
Frames, purchases |
2,373 |
2,277 |
$75K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,980 |
1,912 |
$41K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
407 |
400 |
$36K |
| 92015 |
Determination of refractive state |
2,913 |
2,833 |
$32K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
58 |
54 |
$4K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
42 |
42 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
29 |
24 |
$948.78 |
| 92341 |
|
40 |
39 |
$946.11 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
12 |
12 |
$0.00 |