| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Frames, purchases |
30,952 |
30,272 |
$947K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
14,854 |
14,683 |
$671K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
10,653 |
10,524 |
$506K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
24,280 |
23,805 |
$465K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
18,716 |
18,413 |
$284K |
| 92341 |
|
3,907 |
3,797 |
$85K |
| 92342 |
|
3,076 |
3,004 |
$73K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
4,222 |
4,066 |
$70K |
| V2300 |
Sphere, trifocal, plano to plus or minus 4.00d, per lens |
3,044 |
2,973 |
$63K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
2,924 |
2,849 |
$52K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
575 |
558 |
$22K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
894 |
854 |
$18K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
445 |
433 |
$9K |
| V2107 |
Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens |
430 |
415 |
$8K |
| 92015 |
Determination of refractive state |
670 |
628 |
$8K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
89 |
87 |
$5K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
61 |
48 |
$3K |
| V2744 |
Tint, photochromatic, per lens |
107 |
107 |
$1K |
| V2108 |
Spherocylinder, single vision, plus or minus 4.25d to plus or minus 7.00d sphere, 2.12 to 4.00d cylinder, per lens |
40 |
39 |
$780.38 |
| 92002 |
|
15 |
14 |
$560.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
28 |
28 |
$557.72 |
| 92310 |
|
17 |
17 |
$390.00 |
| V2111 |
Spherocylinder, single vision, plus or minus 7.25 to plus or minus 12.00d sphere, .25 to 2.25d cylinder, per lens |
13 |
13 |
$335.06 |
| V2750 |
Anti-reflective coating, per lens |
4,134 |
3,908 |
$0.00 |
| V2797 |
Vision supply, accessory and/or service component of another hcpcs vision code |
14 |
13 |
$0.00 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
132 |
132 |
$0.00 |