| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Vision svcs frames purchases |
10,469 |
10,433 |
$262K |
| S0620 |
Routine ophthalmological exa |
4,703 |
4,703 |
$176K |
| S0621 |
Routine ophthalmological exa |
4,382 |
4,382 |
$158K |
| 92340 |
|
9,322 |
9,280 |
$148K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
6,383 |
6,371 |
$80K |
| 92341 |
|
1,297 |
1,295 |
$24K |
| V2100 |
Lens spher single plano 4.00 |
1,871 |
1,866 |
$20K |
| V2203 |
Lens sphcyl bifocal 4.00d/.1 |
965 |
963 |
$16K |
| V2104 |
Spherocylindr 4.00d/2.12-4d |
935 |
933 |
$11K |
| V2107 |
Spherocylinder 4.25d/12-2d |
140 |
140 |
$2K |
| V2200 |
Lens spher bifoc plano 4.00d |
25 |
25 |
$425.41 |
| 99212 |
|
41 |
38 |
$304.32 |
| V2784 |
Lens polycarb or equal |
540 |
540 |
$0.00 |