| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Frames, purchases |
2,602 |
2,520 |
$69K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
488 |
459 |
$21K |
| 92015 |
Determination of refractive state |
1,767 |
1,729 |
$19K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
1,689 |
1,309 |
$11K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
179 |
176 |
$11K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
570 |
565 |
$10K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
175 |
173 |
$8K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
94 |
91 |
$6K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
158 |
158 |
$5K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
130 |
126 |
$4K |
| 92002 |
|
44 |
41 |
$2K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
125 |
105 |
$600.04 |
| 92250 |
|
41 |
38 |
$520.08 |
| V2756 |
Eye glass case |
373 |
372 |
$20.79 |
| V2755 |
U-v lens, per lens |
14 |
14 |
$6.37 |
| V2750 |
Anti-reflective coating, per lens |
29 |
28 |
$0.00 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
74 |
71 |
$0.00 |