| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Frames, purchases |
5,358 |
5,247 |
$163K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
4,385 |
4,316 |
$87K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
1,404 |
1,403 |
$71K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
1,265 |
1,262 |
$60K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
5,071 |
3,934 |
$45K |
| 92341 |
|
631 |
625 |
$14K |
| 92015 |
Determination of refractive state |
710 |
705 |
$8K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
577 |
447 |
$8K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
146 |
139 |
$7K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
71 |
69 |
$6K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
90 |
89 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
13 |
13 |
$856.32 |