| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Frames, purchases |
2,622 |
2,592 |
$82K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
741 |
737 |
$36K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,769 |
1,756 |
$35K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
431 |
428 |
$21K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
295 |
290 |
$15K |
| 92341 |
|
395 |
389 |
$9K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
1,170 |
725 |
$7K |
| 92015 |
Determination of refractive state |
362 |
355 |
$4K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
319 |
200 |
$2K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
89 |
51 |
$649.32 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
24 |
12 |
$0.00 |