| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Frames, purchases |
10,469 |
10,433 |
$262K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
4,703 |
4,703 |
$176K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
4,382 |
4,382 |
$158K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
9,322 |
9,280 |
$148K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
6,383 |
6,371 |
$80K |
| 92341 |
|
1,297 |
1,295 |
$24K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
1,871 |
1,866 |
$20K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
965 |
963 |
$16K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
935 |
933 |
$11K |
| V2107 |
Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens |
140 |
140 |
$2K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
25 |
25 |
$425.41 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
41 |
38 |
$304.32 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
540 |
540 |
$0.00 |