| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
|
7,241 |
6,926 |
$31K |
| 92014 |
|
6,972 |
6,774 |
$20K |
| V2020 |
Frames, purchases |
12,460 |
11,886 |
$16K |
| 92340 |
|
1,090 |
981 |
$15K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
19,461 |
10,184 |
$15K |
| 92015 |
|
1,322 |
1,090 |
$4K |
| 92310 |
|
938 |
874 |
$3K |
| 92250 |
|
3,886 |
3,575 |
$2K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
1,234 |
701 |
$2K |
| 99213 |
|
13 |
13 |
$520.00 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
7,186 |
3,624 |
$438.00 |
| V2520 |
Contact lens, hydrophilic, spherical, per lens |
12 |
12 |
$96.00 |
| V2750 |
Anti-reflective coating, per lens |
6,820 |
3,452 |
$0.00 |
| V2300 |
Sphere, trifocal, plano to plus or minus 4.00d, per lens |
107 |
49 |
$0.00 |
| V2797 |
Vision supply, accessory and/or service component of another hcpcs vision code |
68 |
67 |
$0.00 |
| V2760 |
Scratch resistant coating, per lens |
15 |
12 |
$0.00 |
| V2755 |
U-v lens, per lens |
4,353 |
2,037 |
$0.00 |
| S0500 |
Disposable contact lens, per lens |
794 |
792 |
$0.00 |
| V2799 |
Vision item or service, miscellaneous |
277 |
230 |
$0.00 |
| V2744 |
Tint, photochromatic, per lens |
254 |
132 |
$0.00 |
| V2782 |
Lens, index 1.54 to 1.65 plastic or 1.60 to 1.79 glass, excludes polycarbonate, per lens |
56 |
38 |
$0.00 |
| V2521 |
Contact lens, hydrophilic, toric, or prism ballast, per lens |
12 |
12 |
$0.00 |