| Code | Description | Claims | Beneficiaries | Total Paid |
| 92015 |
Determination of refractive state |
3,894 |
2,230 |
$41K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,969 |
1,124 |
$24K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
527 |
379 |
$16K |
| V2020 |
Frames, purchases |
520 |
455 |
$8K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
951 |
507 |
$5K |
| 92341 |
|
84 |
82 |
$3K |
| 92250 |
|
333 |
203 |
$2K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
28 |
26 |
$625.10 |
| V2204 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
27 |
27 |
$497.42 |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
16 |
14 |
$393.90 |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
19 |
14 |
$228.36 |
| 1036F |
|
82 |
49 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
88 |
53 |
$0.00 |