| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
2,513 |
2,428 |
$306K |
| 92004 |
|
1,871 |
1,625 |
$20K |
| V2020 |
Frames, purchases |
1,773 |
1,558 |
$8K |
| 92340 |
|
1,291 |
1,113 |
$6K |
| 92014 |
|
477 |
406 |
$4K |
| 92015 |
|
2,417 |
2,111 |
$3K |
| 92341 |
|
397 |
356 |
$2K |
| 99212 |
|
132 |
87 |
$359.45 |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
1,135 |
651 |
$0.00 |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
106 |
71 |
$0.00 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
926 |
467 |
$0.00 |
| V2744 |
Tint, photochromatic, per lens |
24 |
12 |
$0.00 |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
298 |
173 |
$0.00 |
| V2797 |
Vision supply, accessory and/or service component of another hcpcs vision code |
92 |
92 |
$0.00 |