| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
|
33,458 |
33,061 |
$1.68M |
| V2020 |
Vision svcs frames purchases |
31,904 |
31,640 |
$1.54M |
| 92004 |
|
27,426 |
27,090 |
$1.45M |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
22,147 |
20,251 |
$1.15M |
| V2410 |
Lens variab asphericity sing |
7,322 |
7,296 |
$700K |
| V2025 |
Eyeglasses delux frames |
9,085 |
9,041 |
$510K |
| V2784 |
Lens polycarb or equal |
19,480 |
19,179 |
$449K |
| V2203 |
Lens sphcyl bifocal 4.00d/.1 |
5,655 |
5,615 |
$388K |
| V2100 |
Lens spher single plano 4.00 |
10,420 |
10,152 |
$330K |
| 92015 |
|
22,613 |
22,028 |
$113K |
| V2104 |
Spherocylindr 4.00d/2.12-4d |
1,775 |
1,656 |
$80K |
| 92340 |
|
3,619 |
3,585 |
$66K |
| 99213 |
|
1,298 |
1,067 |
$65K |
| V2750 |
Anti-reflective coating |
2,735 |
2,710 |
$58K |
| 92133 |
|
1,551 |
1,378 |
$43K |
| 92083 |
|
936 |
822 |
$41K |
| V2107 |
Spherocylinder 4.25d/12-2d |
528 |
510 |
$25K |
| V2200 |
Lens spher bifoc plano 4.00d |
418 |
416 |
$19K |
| V2799 |
Misc vision item or service |
938 |
926 |
$9K |
| V2755 |
Uv lens/es |
3,228 |
3,226 |
$5K |
| 76514 |
|
426 |
395 |
$4K |
| 92134 |
|
139 |
121 |
$3K |
| V2744 |
Tint photochromatic lens/es |
24 |
24 |
$773.33 |
| 92310 |
|
14 |
13 |
$505.00 |
| 92342 |
|
12 |
12 |
$292.60 |
| V2499 |
Variable asphericity lens |
291 |
290 |
$0.00 |
| 99199 |
|
326 |
326 |
$0.00 |