| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
290 |
283 |
$7K |
| 92015 |
Determination of refractive state |
13 |
12 |
$49.00 |
| V2781 |
Progressive lens, per lens |
1,387 |
1,129 |
$0.00 |
| V2744 |
Tint, photochromatic, per lens |
1,076 |
870 |
$0.00 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
1,536 |
1,260 |
$0.00 |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
171 |
144 |
$0.00 |
| V2799 |
Vision item or service, miscellaneous |
29 |
27 |
$0.00 |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
159 |
120 |
$0.00 |
| V2750 |
Anti-reflective coating, per lens |
1,441 |
1,146 |
$0.00 |
| V2020 |
Frames, purchases |
2,236 |
1,774 |
$0.00 |
| V2797 |
Vision supply, accessory and/or service component of another hcpcs vision code |
342 |
262 |
$0.00 |