| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
65,874 |
59,879 |
$642K |
| V2020 |
Frames, purchases |
107,414 |
97,161 |
$511K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
23,778 |
21,584 |
$205K |
| A9901 |
Dme delivery, set up, and/or dispensing service component of another hcpcs code |
71,676 |
67,743 |
$189K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
14,393 |
13,093 |
$122K |
| V2797 |
Vision supply, accessory and/or service component of another hcpcs vision code |
37,646 |
26,334 |
$111K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
8,083 |
6,763 |
$95K |
| V2107 |
Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens |
8,392 |
7,527 |
$72K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
29,842 |
23,851 |
$47K |
| V2105 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 4.25 to 6.00d cylinder, per lens |
3,041 |
2,764 |
$25K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
2,586 |
2,162 |
$25K |
| V2108 |
Spherocylinder, single vision, plus or minus 4.25d to plus or minus 7.00d sphere, 2.12 to 4.00d cylinder, per lens |
2,539 |
2,278 |
$20K |
| V2101 |
Sphere, single vision, plus or minus 4.12 to plus or minus 7.00d, per lens |
1,987 |
1,798 |
$15K |
| V2111 |
Spherocylinder, single vision, plus or minus 7.25 to plus or minus 12.00d sphere, .25 to 2.25d cylinder, per lens |
1,301 |
1,165 |
$11K |
| V2204 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
690 |
565 |
$6K |
| V2207 |
Spherocylinder, bifocal, plus or minus 4.25 to plus or minus 7.00d sphere,.12 to 2.00d cylinder, per lens |
457 |
386 |
$5K |
| V2112 |
Spherocylinder, single vision, plus or minus 7.25 to plus or minus 12.00d sphere, 2.25d to 4.00d cylinder, per lens |
464 |
417 |
$4K |
| V2109 |
Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00d sphere, 4.25 to 6.00d cylinder, per lens |
376 |
345 |
$3K |
| V2025 |
Deluxe frame |
1,240 |
940 |
$3K |
| V2102 |
Sphere, single vision, plus or minus 7.12 to plus or minus 20.00d, per lens |
26 |
26 |
$216.00 |
| V2114 |
Spherocylinder, single vision, sphere over plus or minus 12.00d, per lens |
13 |
13 |
$114.00 |
| V2760 |
Scratch resistant coating, per lens |
15 |
15 |
$0.00 |