| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Frames, purchases |
2,963 |
2,911 |
$61K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
952 |
932 |
$59K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,343 |
2,315 |
$36K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
685 |
683 |
$34K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
640 |
634 |
$32K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
464 |
463 |
$24K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
604 |
582 |
$22K |
| 92015 |
Determination of refractive state |
2,040 |
2,010 |
$17K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
1,206 |
1,175 |
$16K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
1,851 |
1,419 |
$13K |
| 92341 |
|
467 |
461 |
$8K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
414 |
341 |
$2K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
161 |
119 |
$1K |
| 92370 |
|
60 |
60 |
$954.71 |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
102 |
83 |
$847.31 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
15 |
15 |
$419.37 |
| 92342 |
|
12 |
12 |
$211.22 |
| V2755 |
U-v lens, per lens |
776 |
769 |
$101.95 |
| V2760 |
Scratch resistant coating, per lens |
62 |
62 |
$0.00 |
| V2781 |
Progressive lens, per lens |
12 |
12 |
$0.00 |