| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Frames, purchases |
6,633 |
6,561 |
$196K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,579 |
3,513 |
$189K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
5,881 |
5,773 |
$109K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,582 |
1,550 |
$106K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
2,006 |
1,979 |
$94K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
1,740 |
1,701 |
$77K |
| 92015 |
Determination of refractive state |
5,027 |
4,940 |
$52K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
3,548 |
3,480 |
$42K |
| 92341 |
|
1,847 |
1,819 |
$40K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
1,682 |
1,643 |
$15K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
824 |
800 |
$11K |
| 92250 |
|
565 |
553 |
$10K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
170 |
163 |
$7K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
221 |
215 |
$3K |
| V2300 |
Sphere, trifocal, plano to plus or minus 4.00d, per lens |
16 |
15 |
$289.09 |
| V2107 |
Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens |
12 |
12 |
$189.92 |