| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2783 |
Lens, index greater than or equal to 1.66 plastic or greater than or equal to 1.80 glass, excludes polycarbonate, per lens |
732 |
727 |
$219K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,085 |
1,084 |
$50K |
| V2020 |
Frames, purchases |
2,901 |
2,887 |
$46K |
| V2303 |
Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens |
375 |
371 |
$42K |
| V2219 |
Bifocal seg width over 28 mm |
533 |
529 |
$42K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
1,851 |
942 |
$37K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
389 |
389 |
$20K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,492 |
1,482 |
$20K |
| V2410 |
Variable asphericity lens, single vision, full field, glass or plastic, per lens |
327 |
326 |
$14K |
| V2430 |
Variable asphericity lens, bifocal, full field, glass or plastic, per lens |
238 |
237 |
$14K |
| 92341 |
|
528 |
524 |
$9K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
876 |
860 |
$9K |
| S0580 |
Polycarbonate lens (list this code in addition to the basic code for the lens) |
406 |
403 |
$7K |
| V2500 |
Contact lens, pmma, spherical, per lens |
40 |
40 |
$7K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
2,167 |
1,145 |
$7K |
| 92015 |
Determination of refractive state |
433 |
433 |
$5K |
| V2782 |
Lens, index 1.54 to 1.65 plastic or 1.60 to 1.79 glass, excludes polycarbonate, per lens |
73 |
72 |
$4K |
| 99215 |
Prolong outpt/office vis |
42 |
42 |
$3K |
| 92250 |
|
34 |
34 |
$2K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
45 |
45 |
$931.50 |
| 92342 |
|
13 |
13 |
$234.00 |
| 2026F |
|
17 |
17 |
$0.00 |