| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Frames, purchases |
1,825 |
1,819 |
$55K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,395 |
1,390 |
$27K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
533 |
531 |
$25K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
1,136 |
1,133 |
$15K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
273 |
273 |
$13K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
25 |
25 |
$874.10 |
| 92341 |
|
38 |
38 |
$852.10 |
| 92015 |
Determination of refractive state |
24 |
24 |
$268.36 |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
14 |
14 |
$216.25 |