| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Vision svcs frames purchases |
17,745 |
17,679 |
$405K |
| S0620 |
Routine ophthalmological exa |
7,937 |
7,932 |
$268K |
| S0621 |
Routine ophthalmological exa |
7,012 |
7,005 |
$232K |
| 92340 |
|
15,348 |
15,285 |
$224K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
10,384 |
10,292 |
$117K |
| 92341 |
|
2,498 |
2,496 |
$42K |
| V2203 |
Lens sphcyl bifocal 4.00d/.1 |
2,251 |
2,182 |
$32K |
| V2100 |
Lens spher single plano 4.00 |
3,198 |
3,184 |
$28K |
| 99213 |
|
552 |
494 |
$20K |
| V2104 |
Spherocylindr 4.00d/2.12-4d |
1,750 |
1,742 |
$19K |
| V2107 |
Spherocylinder 4.25d/12-2d |
1,063 |
1,062 |
$12K |
| 99212 |
|
135 |
121 |
$2K |
| V2200 |
Lens spher bifoc plano 4.00d |
235 |
234 |
$2K |
| V2105 |
Spherocylinder 4.00d/4.25-6d |
13 |
13 |
$184.68 |
| V2784 |
Lens polycarb or equal |
1,145 |
1,135 |
$0.00 |