| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
3,629 |
3,151 |
$26K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,904 |
1,516 |
$26K |
| V2020 |
Frames, purchases |
4,105 |
3,554 |
$25K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
490 |
468 |
$8K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
2,225 |
1,971 |
$7K |
| V2300 |
Sphere, trifocal, plano to plus or minus 4.00d, per lens |
163 |
145 |
$2K |
| 92310 |
|
194 |
169 |
$2K |
| V2781 |
Progressive lens, per lens |
113 |
101 |
$0.00 |
| 92250 |
|
112 |
108 |
$0.00 |
| V2520 |
Contact lens, hydrophilic, spherical, per lens |
17 |
12 |
$0.00 |
| V2797 |
Vision supply, accessory and/or service component of another hcpcs vision code |
63 |
62 |
$0.00 |