| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2410 |
Lens variab asphericity sing |
7,618 |
3,725 |
$761K |
| V2020 |
Vision svcs frames purchases |
8,889 |
8,344 |
$637K |
| 92014 |
|
5,964 |
5,545 |
$593K |
| 92004 |
|
2,626 |
2,419 |
$310K |
| 92340 |
|
7,127 |
6,739 |
$219K |
| 92250 |
|
5,316 |
4,928 |
$184K |
| 92015 |
|
9,012 |
8,416 |
$151K |
| V2784 |
Lens polycarb or equal |
1,115 |
1,095 |
$76K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
1,574 |
1,025 |
$70K |
| 99213 |
|
522 |
481 |
$31K |
| V2100 |
Lens spher single plano 4.00 |
421 |
214 |
$15K |
| V2782 |
Lens, 1.54-1.65 p/1.60-1.79g |
255 |
254 |
$15K |
| 92341 |
|
336 |
306 |
$12K |
| V2203 |
Lens sphcyl bifocal 4.00d/.1 |
90 |
59 |
$6K |
| V2101 |
Single visn sphere 4.12-7.00 |
98 |
65 |
$5K |
| V2113 |
Spherocylindr 7.25d/4.25-6d |
125 |
64 |
$5K |
| V2200 |
Lens spher bifoc plano 4.00d |
169 |
52 |
$5K |
| 92133 |
|
14 |
12 |
$447.25 |