| Code | Description | Claims | Beneficiaries | Total Paid |
| V2020 |
Frames, purchases |
289 |
278 |
$24K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
443 |
209 |
$4K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
56 |
44 |
$2K |
| 92015 |
Determination of refractive state |
68 |
65 |
$15.05 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
107 |
101 |
$0.00 |