| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
|
20,405 |
19,014 |
$2.25M |
| 92014 |
|
18,859 |
17,638 |
$1.69M |
| V2020 |
Vision svcs frames purchases |
43,404 |
40,134 |
$1.53M |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
19,348 |
17,972 |
$877K |
| 92015 |
|
46,800 |
43,171 |
$676K |
| V2100 |
Lens spher single plano 4.00 |
6,436 |
5,946 |
$265K |
| V2410 |
Lens variab asphericity sing |
1,104 |
991 |
$181K |
| V2755 |
Uv lens/es |
5,158 |
4,645 |
$130K |
| V2203 |
Lens sphcyl bifocal 4.00d/.1 |
2,227 |
2,004 |
$122K |
| V2104 |
Spherocylindr 4.00d/2.12-4d |
2,200 |
2,056 |
$87K |
| 99213 |
|
1,459 |
1,268 |
$82K |
| V2200 |
Lens spher bifoc plano 4.00d |
663 |
619 |
$32K |
| V2107 |
Spherocylinder 4.25d/12-2d |
248 |
217 |
$10K |
| V2784 |
Lens polycarb or equal |
155 |
103 |
$8K |
| 92002 |
|
411 |
391 |
$7K |
| 92133 |
|
123 |
112 |
$3K |
| V2105 |
Spherocylinder 4.00d/4.25-6d |
31 |
30 |
$1K |
| 92012 |
|
167 |
163 |
$861.70 |
| 92083 |
|
14 |
12 |
$677.62 |
| 92310 |
|
13 |
13 |
$111.00 |