| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S0621 |
Routine ophthalmological examination including refraction; established patient |
1,578 |
1,575 |
$70K |
| V2020 |
Frames, purchases |
1,602 |
1,600 |
$43K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,289 |
2,278 |
$42K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
795 |
791 |
$36K |
| 92341 |
|
993 |
987 |
$21K |
| 92015 |
Determination of refractive state |
467 |
465 |
$5K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
517 |
517 |
$4K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
40 |
40 |
$401.42 |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
27 |
27 |
$201.60 |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
13 |
12 |
$139.14 |