| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Frames, purchases |
17,745 |
17,679 |
$405K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
7,937 |
7,932 |
$268K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
7,012 |
7,005 |
$232K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
15,348 |
15,285 |
$224K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
10,384 |
10,292 |
$117K |
| 92341 |
|
2,498 |
2,496 |
$42K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
2,251 |
2,182 |
$32K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
3,198 |
3,184 |
$28K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
552 |
494 |
$20K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
1,750 |
1,742 |
$19K |
| V2107 |
Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens |
1,063 |
1,062 |
$12K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
135 |
121 |
$2K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
235 |
234 |
$2K |
| V2105 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 4.25 to 6.00d cylinder, per lens |
13 |
13 |
$184.68 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
1,145 |
1,135 |
$0.00 |