| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S0621 |
Routine ophthalmological examination including refraction; established patient |
1,950 |
1,928 |
$90K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
3,141 |
3,105 |
$59K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
1,312 |
1,298 |
$58K |
| V2020 |
Frames, purchases |
1,586 |
1,576 |
$44K |
| 92341 |
|
542 |
538 |
$12K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
643 |
536 |
$7K |
| 92015 |
Determination of refractive state |
154 |
154 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12 |
12 |
$326.48 |
| 3072F |
|
406 |
398 |
$0.00 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
24 |
24 |
$0.00 |
| G8732 |
No documentation of pain assessment, reason not given |
13 |
13 |
$0.00 |