| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Frames, purchases |
391 |
377 |
$16K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
343 |
330 |
$13K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
256 |
250 |
$10K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
144 |
135 |
$6K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
141 |
141 |
$6K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
324 |
315 |
$5K |
| S0580 |
Polycarbonate lens (list this code in addition to the basic code for the lens) |
171 |
171 |
$4K |
| 92250 |
|
13 |
13 |
$382.34 |