| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Frames, purchases |
9,979 |
9,083 |
$166K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
7,299 |
6,923 |
$93K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
4,821 |
4,338 |
$76K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
2,736 |
2,518 |
$40K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
814 |
731 |
$35K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
940 |
736 |
$9K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
232 |
219 |
$8K |
| V2025 |
Deluxe frame |
119 |
118 |
$8K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
390 |
355 |
$5K |
| V2107 |
Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens |
289 |
273 |
$5K |
| V2303 |
Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens |
56 |
53 |
$3K |
| S0580 |
Polycarbonate lens (list this code in addition to the basic code for the lens) |
59 |
57 |
$1K |
| 92341 |
|
26 |
26 |
$321.36 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
38 |
38 |
$63.60 |