| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Frames, purchases |
3,330 |
3,317 |
$102K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,324 |
1,318 |
$81K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,142 |
1,130 |
$77K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,958 |
2,933 |
$61K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
676 |
668 |
$57K |
| 92015 |
Determination of refractive state |
3,989 |
3,966 |
$44K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
387 |
386 |
$33K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
1,708 |
1,691 |
$26K |
| 92341 |
|
888 |
883 |
$20K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
226 |
203 |
$11K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
482 |
481 |
$8K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
244 |
242 |
$3K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
24 |
24 |
$1K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
18 |
18 |
$930.60 |
| V2755 |
U-v lens, per lens |
1,620 |
1,619 |
$704.40 |
| V2760 |
Scratch resistant coating, per lens |
408 |
408 |
$0.00 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
1,241 |
1,233 |
$0.00 |