| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
10,947 |
10,711 |
$538K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
8,038 |
7,881 |
$462K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
4,215 |
4,104 |
$240K |
| 92370 |
|
1,439 |
1,412 |
$48K |
| S0512 |
Daily wear specialty contact lens, per lens |
172 |
169 |
$47K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
63 |
62 |
$2K |
| V2020 |
Frames, purchases |
41 |
41 |
$985.00 |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
14 |
14 |
$549.20 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
27 |
27 |
$162.00 |
| 92015 |
Determination of refractive state |
12 |
12 |
$0.00 |