| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Vision svcs frames purchases |
30,952 |
30,272 |
$947K |
| S0620 |
Routine ophthalmological exa |
14,854 |
14,683 |
$671K |
| S0621 |
Routine ophthalmological exa |
10,653 |
10,524 |
$506K |
| 92340 |
|
24,280 |
23,805 |
$465K |
| V2100 |
Lens spher single plano 4.00 |
18,716 |
18,413 |
$284K |
| 92341 |
|
3,907 |
3,797 |
$85K |
| 92342 |
|
3,076 |
3,004 |
$73K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
4,222 |
4,066 |
$70K |
| V2300 |
Lens sphere trifocal 4.00d |
3,044 |
2,973 |
$63K |
| V2200 |
Lens spher bifoc plano 4.00d |
2,924 |
2,849 |
$52K |
| 99213 |
|
575 |
558 |
$22K |
| V2203 |
Lens sphcyl bifocal 4.00d/.1 |
894 |
854 |
$18K |
| V2104 |
Spherocylindr 4.00d/2.12-4d |
445 |
433 |
$9K |
| V2107 |
Spherocylinder 4.25d/12-2d |
430 |
415 |
$8K |
| 92015 |
|
670 |
628 |
$8K |
| 99203 |
|
89 |
87 |
$5K |
| 92012 |
|
61 |
48 |
$3K |
| V2744 |
Tint photochromatic lens/es |
107 |
107 |
$1K |
| V2108 |
Spherocylinder 4.25d/2.12-4d |
40 |
39 |
$780.38 |
| 92002 |
|
15 |
14 |
$560.00 |
| 99212 |
|
28 |
28 |
$557.72 |
| 92310 |
|
17 |
17 |
$390.00 |
| V2111 |
Spherocylindr 7.25d/.25-2.25 |
13 |
13 |
$335.06 |
| V2750 |
Anti-reflective coating |
4,134 |
3,908 |
$0.00 |
| V2797 |
Vis item/svc in other code |
14 |
13 |
$0.00 |
| V2784 |
Lens polycarb or equal |
132 |
132 |
$0.00 |