| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Frames, purchases |
7,541 |
7,011 |
$113K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
3,452 |
3,235 |
$81K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
4,882 |
4,721 |
$63K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
892 |
814 |
$58K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
1,628 |
1,521 |
$39K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
79 |
69 |
$5K |
| V2799 |
Vision item or service, miscellaneous |
440 |
429 |
$3K |
| V2107 |
Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens |
84 |
83 |
$2K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
353 |
285 |
$1K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
23 |
14 |
$1K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
13 |
13 |
$310.88 |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
36 |
29 |
$0.00 |
| 92015 |
Determination of refractive state |
94 |
77 |
$0.00 |