| Code | Description | Claims | Beneficiaries | Total Paid |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
190 |
181 |
$17K |
| 92015 |
Determination of refractive state |
291 |
276 |
$13K |
| V2020 |
Frames, purchases |
146 |
141 |
$5K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
103 |
86 |
$4K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
234 |
228 |
$4K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
15 |
15 |
$2K |
| 92083 |
|
40 |
33 |
$1K |
| 83861 |
|
25 |
17 |
$484.96 |
| 92133 |
|
13 |
13 |
$268.98 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
94 |
84 |
$0.00 |
| G9744 |
Patient not eligible due to active diagnosis of hypertension |
16 |
13 |
$0.00 |
| 1036F |
|
28 |
25 |
$0.00 |