| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
2,256 |
2,213 |
$64K |
| 92002 |
|
1,523 |
1,514 |
$61K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
1,503 |
1,493 |
$60K |
| V2025 |
Deluxe frame |
1,231 |
1,231 |
$59K |
| V2020 |
Frames, purchases |
1,167 |
1,134 |
$23K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
1,682 |
1,645 |
$11K |
| V2781 |
Progressive lens, per lens |
33 |
33 |
$2K |
| V2760 |
Scratch resistant coating, per lens |
483 |
482 |
$732.58 |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
12 |
12 |
$465.25 |
| V2750 |
Anti-reflective coating, per lens |
31 |
31 |
$161.92 |
| V2744 |
Tint, photochromatic, per lens |
27 |
27 |
$122.44 |
| 92015 |
Determination of refractive state |
3,070 |
3,050 |
$90.00 |
| V2797 |
Vision supply, accessory and/or service component of another hcpcs vision code |
13 |
13 |
$0.00 |
| 92250 |
|
40 |
40 |
$0.00 |
| 92310 |
|
58 |
58 |
$0.00 |