| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,826 |
1,656 |
$26K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
8,418 |
8,166 |
$25K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
26,559 |
14,391 |
$24K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
7,793 |
7,533 |
$21K |
| V2020 |
Frames, purchases |
18,274 |
17,584 |
$20K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
242 |
242 |
$10K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
3,614 |
2,141 |
$7K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
141 |
140 |
$4K |
| 92015 |
Determination of refractive state |
979 |
859 |
$3K |
| V2300 |
Sphere, trifocal, plano to plus or minus 4.00d, per lens |
1,935 |
1,063 |
$2K |
| 92341 |
|
119 |
108 |
$2K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
9,190 |
4,832 |
$2K |
| 92250 |
|
6,158 |
5,848 |
$1K |
| V2500 |
Contact lens, pmma, spherical, per lens |
26 |
24 |
$1K |
| 92310 |
|
652 |
628 |
$510.00 |
| V2520 |
Contact lens, hydrophilic, spherical, per lens |
53 |
52 |
$26.60 |
| V2781 |
Progressive lens, per lens |
686 |
391 |
$0.00 |
| S0500 |
Disposable contact lens, per lens |
635 |
635 |
$0.00 |
| S0581 |
Nonstandard lens (list this code in addition to the basic code for the lens) |
272 |
133 |
$0.00 |
| V2744 |
Tint, photochromatic, per lens |
1,601 |
833 |
$0.00 |
| V2755 |
U-v lens, per lens |
4,043 |
1,965 |
$0.00 |
| V2799 |
Vision item or service, miscellaneous |
836 |
559 |
$0.00 |
| V2750 |
Anti-reflective coating, per lens |
6,638 |
3,444 |
$0.00 |
| V2797 |
Vision supply, accessory and/or service component of another hcpcs vision code |
476 |
455 |
$0.00 |