| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,041 |
1,969 |
$96K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
1,609 |
1,560 |
$89K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
171 |
158 |
$9K |
| 92250 |
|
149 |
142 |
$4K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
86 |
77 |
$4K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
52 |
50 |
$2K |
| V2020 |
Frames, purchases |
122 |
112 |
$2K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
57 |
52 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
42 |
40 |
$1K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
69 |
61 |
$360.00 |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
14 |
13 |
$312.00 |
| 92015 |
Determination of refractive state |
123 |
114 |
$102.27 |