| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92250 |
|
8,219 |
8,175 |
$374K |
| 92004 |
|
5,004 |
4,974 |
$321K |
| 92014 |
|
4,331 |
4,306 |
$240K |
| 92012 |
|
3,755 |
3,685 |
$150K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
8,238 |
4,704 |
$128K |
| 92060 |
|
3,405 |
3,374 |
$115K |
| V2020 |
Frames, purchases |
7,311 |
7,160 |
$95K |
| 92083 |
|
1,356 |
1,338 |
$65K |
| 92202 |
|
4,657 |
3,224 |
$65K |
| 92134 |
|
1,916 |
1,908 |
$56K |
| 92225 |
|
3,422 |
1,693 |
$48K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
1,828 |
1,100 |
$39K |
| 92020 |
|
3,128 |
3,095 |
$39K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
5,436 |
2,882 |
$3K |
| 99213 |
|
99 |
96 |
$3K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
778 |
387 |
$3K |
| 92133 |
|
81 |
81 |
$2K |
| 92015 |
|
385 |
383 |
$513.00 |
| 92340 |
|
167 |
165 |
$420.00 |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
50 |
25 |
$342.96 |
| 99212 |
|
18 |
15 |
$325.41 |