| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
6,697 |
6,687 |
$122K |
| V2020 |
Frames, purchases |
17,671 |
17,517 |
$55K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
6,445 |
3,774 |
$25K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
13,978 |
7,424 |
$14K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
10,453 |
5,629 |
$10K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
5,864 |
3,279 |
$10K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
2,846 |
1,635 |
$8K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
30 |
30 |
$2K |
| 92250 |
|
43 |
43 |
$2K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
496 |
260 |
$236.00 |
| V2107 |
Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens |
59 |
29 |
$21.00 |
| V2744 |
Tint, photochromatic, per lens |
2,387 |
1,205 |
$0.00 |
| V2299 |
Specialty bifocal (by report) |
480 |
242 |
$0.00 |
| V2781 |
Progressive lens, per lens |
854 |
428 |
$0.00 |
| V2599 |
Contact lens, other type |
12 |
12 |
$0.00 |
| V2500 |
Contact lens, pmma, spherical, per lens |
25 |
25 |
$0.00 |
| V2750 |
Anti-reflective coating, per lens |
1,780 |
910 |
$0.00 |
| V2760 |
Scratch resistant coating, per lens |
70 |
36 |
$0.00 |