| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Frames, purchases |
7,968 |
7,837 |
$246K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
7,289 |
7,177 |
$146K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
2,157 |
2,119 |
$107K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
1,560 |
1,540 |
$73K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
6,145 |
5,275 |
$65K |
| 92015 |
Determination of refractive state |
5,111 |
5,044 |
$54K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
780 |
780 |
$40K |
| 92341 |
|
1,515 |
1,493 |
$34K |
| 92002 |
|
679 |
678 |
$33K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
837 |
758 |
$12K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
576 |
512 |
$9K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
876 |
779 |
$7K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
13 |
12 |
$141.78 |