| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Frames, purchases |
11,211 |
10,519 |
$164K |
| V2025 |
Deluxe frame |
2,571 |
2,387 |
$164K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
11,082 |
10,512 |
$140K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
5,862 |
5,613 |
$138K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
2,119 |
1,975 |
$113K |
| V2781 |
Progressive lens, per lens |
706 |
668 |
$82K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
1,947 |
1,864 |
$45K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
516 |
493 |
$38K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,828 |
1,745 |
$21K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
159 |
156 |
$4K |
| V2107 |
Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens |
88 |
87 |
$2K |
| V2799 |
Vision item or service, miscellaneous |
190 |
187 |
$2K |
| V2101 |
Sphere, single vision, plus or minus 4.12 to plus or minus 7.00d, per lens |
13 |
13 |
$485.26 |