| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Frames, purchases |
2,080 |
1,991 |
$65K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
1,409 |
1,341 |
$42K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
406 |
388 |
$16K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
383 |
372 |
$15K |
| 92015 |
Determination of refractive state |
584 |
566 |
$11K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
170 |
159 |
$11K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
514 |
500 |
$10K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
221 |
213 |
$4K |
| 92060 |
|
74 |
63 |
$4K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
415 |
403 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$1K |
| 92250 |
|
14 |
14 |
$1K |