| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2025 |
Deluxe frame |
55,657 |
33,873 |
$988K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
76,523 |
57,132 |
$775K |
| V2020 |
Frames, purchases |
40,238 |
36,845 |
$756K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
56,451 |
41,299 |
$704K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
14,209 |
11,228 |
$208K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
12,996 |
9,761 |
$145K |
| V2750 |
Anti-reflective coating, per lens |
16,145 |
11,841 |
$122K |
| V2781 |
Progressive lens, per lens |
741 |
670 |
$28K |
| V2799 |
Vision item or service, miscellaneous |
3,101 |
3,079 |
$23K |
| V2105 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 4.25 to 6.00d cylinder, per lens |
852 |
663 |
$21K |
| V2107 |
Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens |
1,399 |
1,063 |
$16K |
| V2744 |
Tint, photochromatic, per lens |
472 |
406 |
$6K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
199 |
186 |
$2K |
| 92002 |
|
90 |
86 |
$2K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
36 |
36 |
$773.38 |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
26 |
26 |
$641.92 |
| V2108 |
Spherocylinder, single vision, plus or minus 4.25d to plus or minus 7.00d sphere, 2.12 to 4.00d cylinder, per lens |
17 |
16 |
$268.66 |
| V2760 |
Scratch resistant coating, per lens |
220 |
215 |
$226.06 |
| V2797 |
Vision supply, accessory and/or service component of another hcpcs vision code |
747 |
671 |
$0.00 |
| 92260 |
|
12 |
12 |
$0.00 |