| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
9,507 |
9,202 |
$263K |
| V2020 |
Frames, purchases |
18,297 |
17,931 |
$202K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
8,607 |
8,504 |
$166K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
6,512 |
6,374 |
$113K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
22,614 |
15,863 |
$112K |
| 92015 |
Determination of refractive state |
12,385 |
12,322 |
$53K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
542 |
514 |
$9K |
| V2500 |
Contact lens, pmma, spherical, per lens |
104 |
104 |
$9K |
| 92341 |
|
405 |
405 |
$8K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
4,994 |
2,541 |
$463.60 |
| 92250 |
|
2,370 |
2,218 |
$304.00 |
| 92310 |
|
757 |
713 |
$130.00 |
| V2520 |
Contact lens, hydrophilic, spherical, per lens |
42 |
39 |
$50.00 |
| V2750 |
Anti-reflective coating, per lens |
2,177 |
1,103 |
$0.00 |
| V2300 |
Sphere, trifocal, plano to plus or minus 4.00d, per lens |
24 |
12 |
$0.00 |
| V2797 |
Vision supply, accessory and/or service component of another hcpcs vision code |
17 |
13 |
$0.00 |
| S0500 |
Disposable contact lens, per lens |
374 |
371 |
$0.00 |
| V2755 |
U-v lens, per lens |
1,487 |
721 |
$0.00 |
| V2744 |
Tint, photochromatic, per lens |
339 |
174 |
$0.00 |