| Code | Description | Claims | Beneficiaries | Total Paid |
| V2020 |
Frames, purchases |
302,727 |
300,532 |
$8.60M |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
131,529 |
131,341 |
$5.88M |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
114,172 |
114,017 |
$4.97M |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
238,844 |
237,396 |
$4.67M |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
179,278 |
177,880 |
$2.06M |
| 92341 |
|
53,224 |
53,015 |
$1.19M |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
68,149 |
67,218 |
$900K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
65,118 |
64,629 |
$738K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
33,440 |
33,228 |
$514K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
6,821 |
6,751 |
$329K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
5,567 |
5,531 |
$274K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
19,418 |
19,382 |
$256K |
| V2300 |
Sphere, trifocal, plano to plus or minus 4.00d, per lens |
5,818 |
5,758 |
$126K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
9,447 |
9,345 |
$110K |
| 92310 |
|
4,159 |
4,133 |
$109K |
| V2107 |
Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens |
7,573 |
7,519 |
$86K |
| V2410 |
Variable asphericity lens, single vision, full field, glass or plastic, per lens |
1,954 |
1,941 |
$31K |
| V2744 |
Tint, photochromatic, per lens |
5,280 |
5,224 |
$27K |
| 92015 |
Determination of refractive state |
1,809 |
1,809 |
$20K |
| V2204 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
1,605 |
1,602 |
$17K |
| V2207 |
Spherocylinder, bifocal, plus or minus 4.25 to plus or minus 7.00d sphere,.12 to 2.00d cylinder, per lens |
1,271 |
1,265 |
$15K |
| V2105 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 4.25 to 6.00d cylinder, per lens |
1,309 |
1,287 |
$15K |
| V2101 |
Sphere, single vision, plus or minus 4.12 to plus or minus 7.00d, per lens |
1,590 |
1,577 |
$14K |
| V2108 |
Spherocylinder, single vision, plus or minus 4.25d to plus or minus 7.00d sphere, 2.12 to 4.00d cylinder, per lens |
1,695 |
1,685 |
$14K |
| V2781 |
Progressive lens, per lens |
1,744 |
1,721 |
$13K |
| V2111 |
Spherocylinder, single vision, plus or minus 7.25 to plus or minus 12.00d sphere, .25 to 2.25d cylinder, per lens |
975 |
973 |
$11K |
| 92250 |
|
353 |
353 |
$8K |
| V2745 |
Addition to lens; tint, any color, solid, gradient or equal, excludes photochromatic, any lens material, per lens |
906 |
898 |
$5K |
| 92342 |
|
158 |
158 |
$4K |
| V2755 |
U-v lens, per lens |
7,947 |
7,887 |
$3K |
| V2520 |
Contact lens, hydrophilic, spherical, per lens |
41 |
34 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
27 |
27 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
15 |
15 |
$1K |
| V2112 |
Spherocylinder, single vision, plus or minus 7.25 to plus or minus 12.00d sphere, 2.25d to 4.00d cylinder, per lens |
87 |
85 |
$794.13 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$693.12 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
12 |
12 |
$362.10 |
| V2750 |
Anti-reflective coating, per lens |
10,488 |
10,391 |
$85.47 |
| V2799 |
Vision item or service, miscellaneous |
952 |
937 |
$36.37 |
| V2025 |
Deluxe frame |
111 |
111 |
$19.80 |
| 2023F |
|
276 |
276 |
$0.00 |
| V2783 |
Lens, index greater than or equal to 1.66 plastic or greater than or equal to 1.80 glass, excludes polycarbonate, per lens |
1,281 |
1,270 |
$0.00 |
| V2782 |
Lens, index 1.54 to 1.65 plastic or 1.60 to 1.79 glass, excludes polycarbonate, per lens |
40 |
39 |
$0.00 |
| 3072F |
|
64 |
64 |
$0.00 |
| 2000F |
|
91 |
84 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
12 |
12 |
$0.00 |
| S9986 |
Not medically necessary service (patient is aware that service not medically necessary) |
14 |
14 |
$0.00 |