| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Frames, purchases |
54,355 |
50,048 |
$1.91M |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
49,361 |
45,411 |
$1.47M |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
31,439 |
28,910 |
$1.09M |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
30,602 |
28,136 |
$1.03M |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
6,358 |
5,852 |
$307K |
| V2300 |
Sphere, trifocal, plano to plus or minus 4.00d, per lens |
26 |
26 |
$2K |
| 92002 |
|
605 |
519 |
$665.95 |
| 92015 |
Determination of refractive state |
9,040 |
8,987 |
$338.09 |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
503 |
441 |
$178.14 |
| 92310 |
|
37 |
36 |
$122.27 |
| V2025 |
Deluxe frame |
285 |
251 |
$43.31 |
| V2760 |
Scratch resistant coating, per lens |
806 |
802 |
$15.75 |
| V2750 |
Anti-reflective coating, per lens |
3,309 |
3,206 |
$0.00 |
| V2745 |
Addition to lens; tint, any color, solid, gradient or equal, excludes photochromatic, any lens material, per lens |
799 |
758 |
$0.00 |
| S0518 |
Sunglasses frames |
802 |
692 |
$0.00 |
| 92081 |
|
32 |
32 |
$0.00 |
| V2762 |
Polarization, any lens material, per lens |
53 |
47 |
$0.00 |
| V2797 |
Vision supply, accessory and/or service component of another hcpcs vision code |
102 |
101 |
$0.00 |
| V2410 |
Variable asphericity lens, single vision, full field, glass or plastic, per lens |
517 |
489 |
$0.00 |
| V2499 |
Variable sphericity lens, other type |
69 |
67 |
$0.00 |
| 99199 |
Unlisted special service, procedure or report |
195 |
195 |
$0.00 |
| V2783 |
Lens, index greater than or equal to 1.66 plastic or greater than or equal to 1.80 glass, excludes polycarbonate, per lens |
130 |
129 |
$0.00 |
| V2744 |
Tint, photochromatic, per lens |
568 |
559 |
$0.00 |
| V2781 |
Progressive lens, per lens |
152 |
152 |
$0.00 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
6,297 |
6,178 |
$0.00 |
| V2702 |
Deluxe lens feature |
59 |
58 |
$0.00 |
| V2755 |
U-v lens, per lens |
1,051 |
1,038 |
$0.00 |
| 92250 |
|
64 |
64 |
$0.00 |
| V2799 |
Vision item or service, miscellaneous |
622 |
617 |
$0.00 |
| V2782 |
Lens, index 1.54 to 1.65 plastic or 1.60 to 1.79 glass, excludes polycarbonate, per lens |
25 |
25 |
$0.00 |