| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
6,428 |
6,176 |
$42K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
5,008 |
4,673 |
$40K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
17,501 |
9,545 |
$32K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,220 |
2,000 |
$32K |
| V2020 |
Frames, purchases |
11,819 |
11,128 |
$21K |
| 92015 |
Determination of refractive state |
2,085 |
1,803 |
$6K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
1,204 |
740 |
$6K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
7,168 |
3,669 |
$4K |
| 92310 |
|
641 |
597 |
$3K |
| 92341 |
|
208 |
191 |
$3K |
| 92250 |
|
3,681 |
3,463 |
$849.42 |
| V2500 |
Contact lens, pmma, spherical, per lens |
14 |
13 |
$420.00 |
| V2755 |
U-v lens, per lens |
1,327 |
638 |
$5.70 |
| S0500 |
Disposable contact lens, per lens |
123 |
117 |
$0.00 |
| V2799 |
Vision item or service, miscellaneous |
253 |
198 |
$0.00 |
| V2744 |
Tint, photochromatic, per lens |
268 |
147 |
$0.00 |
| V2781 |
Progressive lens, per lens |
34 |
15 |
$0.00 |
| V2750 |
Anti-reflective coating, per lens |
3,415 |
1,812 |
$0.00 |
| V2797 |
Vision supply, accessory and/or service component of another hcpcs vision code |
131 |
120 |
$0.00 |
| 92201 |
|
272 |
223 |
$0.00 |
| S9986 |
Not medically necessary service (patient is aware that service not medically necessary) |
709 |
649 |
$0.00 |
| V2300 |
Sphere, trifocal, plano to plus or minus 4.00d, per lens |
50 |
25 |
$0.00 |