| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S0621 |
Routine ophthalmological examination including refraction; established patient |
339 |
336 |
$16K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
524 |
516 |
$10K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
216 |
216 |
$10K |
| V2020 |
Frames, purchases |
317 |
314 |
$10K |
| 92341 |
|
215 |
213 |
$5K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
123 |
122 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
43 |
42 |
$1K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
13 |
13 |
$306.02 |
| 92015 |
Determination of refractive state |
27 |
27 |
$266.16 |