| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Frames, purchases |
4,008 |
3,583 |
$97K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
2,315 |
1,782 |
$42K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,549 |
2,296 |
$42K |
| S0580 |
Polycarbonate lens (list this code in addition to the basic code for the lens) |
1,237 |
1,129 |
$10K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
500 |
441 |
$10K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
706 |
606 |
$6K |
| 92341 |
|
286 |
265 |
$4K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
222 |
163 |
$3K |
| V2107 |
Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens |
17 |
13 |
$129.80 |
| 1036F |
|
12 |
12 |
$0.00 |
| 4004F |
|
13 |
12 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
25 |
24 |
$0.00 |