| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Frames, purchases |
1,756 |
1,703 |
$58K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
1,229 |
1,199 |
$39K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
831 |
790 |
$33K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
623 |
602 |
$26K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
335 |
318 |
$6K |
| 92015 |
Determination of refractive state |
340 |
321 |
$6K |
| 92060 |
|
99 |
97 |
$6K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
58 |
56 |
$4K |
| 92250 |
|
25 |
25 |
$2K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
260 |
246 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
14 |
14 |
$1K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
60 |
59 |
$1K |