| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Frames, purchases |
14,413 |
12,351 |
$216K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
12,617 |
7,346 |
$130K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
3,940 |
2,250 |
$125K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
10,315 |
9,289 |
$119K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
303 |
272 |
$19K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
1,644 |
1,229 |
$18K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,499 |
1,163 |
$14K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
1,330 |
895 |
$14K |
| V2107 |
Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens |
722 |
495 |
$9K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
99 |
93 |
$8K |
| V2799 |
Vision item or service, miscellaneous |
320 |
290 |
$5K |
| 92341 |
|
123 |
105 |
$1K |
| V2781 |
Progressive lens, per lens |
35 |
28 |
$995.10 |
| V2299 |
Specialty bifocal (by report) |
19 |
12 |
$718.06 |
| V2744 |
Tint, photochromatic, per lens |
16 |
13 |
$29.40 |