| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Frames, purchases |
2,242 |
2,156 |
$71K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
1,554 |
1,499 |
$48K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
885 |
858 |
$38K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
810 |
791 |
$35K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
513 |
496 |
$9K |
| 92015 |
Determination of refractive state |
469 |
458 |
$9K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
28 |
28 |
$3K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
157 |
155 |
$3K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
390 |
375 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12 |
12 |
$813.84 |
| 92060 |
|
12 |
12 |
$725.70 |