| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Frames, purchases |
13,602 |
12,812 |
$213K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
9,094 |
8,653 |
$168K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
8,461 |
8,169 |
$113K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,931 |
2,807 |
$34K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
2,010 |
1,903 |
$32K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
1,255 |
1,205 |
$20K |
| S0580 |
Polycarbonate lens (list this code in addition to the basic code for the lens) |
242 |
234 |
$14K |
| V2799 |
Vision item or service, miscellaneous |
805 |
789 |
$12K |
| V2107 |
Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens |
588 |
568 |
$11K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
143 |
139 |
$9K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
1,563 |
1,492 |
$534.76 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
24 |
12 |
$0.00 |