| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S0620 |
Routine ophthalmological examination including refraction; new patient |
1,912 |
1,685 |
$180K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
2,309 |
2,029 |
$177K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,956 |
2,853 |
$52K |
| 92370 |
|
3,325 |
3,243 |
$24K |
| 92341 |
|
102 |
97 |
$2K |
| V2020 |
Frames, purchases |
383 |
365 |
$0.00 |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
438 |
400 |
$0.00 |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
12 |
12 |
$0.00 |