| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Frames, purchases |
1,332 |
1,293 |
$72K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
1,256 |
1,236 |
$38K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
799 |
776 |
$27K |
| 92250 |
|
280 |
270 |
$12K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
177 |
176 |
$5K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
157 |
154 |
$5K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
45 |
38 |
$1K |
| 92083 |
|
12 |
12 |
$631.39 |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
15 |
14 |
$491.18 |