| Code | Description | Claims | Beneficiaries | Total Paid |
| V2020 |
Frames, purchases |
1,387 |
1,335 |
$52K |
| 92012 |
|
700 |
664 |
$27K |
| V2760 |
Scratch resistant coating, per lens |
1,313 |
1,263 |
$22K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
576 |
560 |
$20K |
| 92014 |
|
368 |
355 |
$19K |
| 92015 |
|
1,921 |
1,755 |
$9K |
| S0580 |
Polycarbonate lens (list this code in addition to the basic code for the lens) |
659 |
639 |
$6K |
| 92002 |
|
82 |
82 |
$4K |
| 92004 |
|
46 |
46 |
$4K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
45 |
44 |
$2K |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
504 |
443 |
$0.00 |
| G8785 |
Blood pressure reading not documented, reason not given |
114 |
108 |
$0.00 |
| 1036F |
|
511 |
452 |
$0.00 |