| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Frames, purchases |
2,887 |
2,883 |
$58K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,167 |
2,153 |
$44K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
609 |
609 |
$28K |
| 92015 |
Determination of refractive state |
2,158 |
2,155 |
$16K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
347 |
347 |
$12K |
| 92341 |
|
278 |
274 |
$8K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
140 |
140 |
$5K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
110 |
110 |
$5K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13 |
13 |
$120.00 |