| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Frames, purchases |
1,717 |
1,704 |
$50K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
841 |
839 |
$36K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,496 |
1,485 |
$27K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
514 |
514 |
$24K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
862 |
857 |
$8K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
38 |
38 |
$2K |
| 92341 |
|
109 |
107 |
$2K |
| 92015 |
Determination of refractive state |
210 |
207 |
$2K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
210 |
210 |
$2K |