| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Vision svcs frames purchases |
29,646 |
27,976 |
$844K |
| 92340 |
|
23,634 |
22,179 |
$471K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
15,327 |
14,578 |
$453K |
| S0580 |
Polycarb lens |
12,551 |
11,933 |
$354K |
| V2203 |
Lens sphcyl bifocal 4.00d/.1 |
7,785 |
7,430 |
$323K |
| 92341 |
|
9,165 |
8,776 |
$210K |
| V2100 |
Lens spher single plano 4.00 |
4,867 |
4,646 |
$113K |
| V2200 |
Lens spher bifoc plano 4.00d |
1,897 |
1,819 |
$60K |
| V2107 |
Spherocylinder 4.25d/12-2d |
1,641 |
1,527 |
$53K |
| V2104 |
Spherocylindr 4.00d/2.12-4d |
2,094 |
2,003 |
$51K |
| V2204 |
Lens sphcy bifocal 4.00d/2.1 |
159 |
153 |
$5K |
| V2108 |
Spherocylinder 4.25d/2.12-4d |
27 |
25 |
$912.42 |