| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2784 |
Lens polycarb or equal |
43,474 |
42,453 |
$1.21M |
| V2020 |
Vision svcs frames purchases |
34,729 |
33,945 |
$1.15M |
| 92340 |
|
37,880 |
37,173 |
$805K |
| 92014 |
|
11,345 |
10,831 |
$775K |
| 92004 |
|
9,054 |
8,782 |
$769K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
22,069 |
21,618 |
$583K |
| V2203 |
Lens sphcyl bifocal 4.00d/.1 |
8,286 |
8,071 |
$381K |
| 92341 |
|
13,982 |
13,685 |
$371K |
| V2025 |
Eyeglasses delux frames |
9,068 |
9,030 |
$366K |
| 92015 |
|
23,066 |
22,387 |
$258K |
| V2104 |
Spherocylindr 4.00d/2.12-4d |
5,635 |
5,561 |
$129K |
| V2100 |
Lens spher single plano 4.00 |
4,180 |
4,111 |
$88K |
| V2107 |
Spherocylinder 4.25d/12-2d |
2,364 |
2,321 |
$61K |
| V2200 |
Lens spher bifoc plano 4.00d |
1,149 |
1,136 |
$34K |
| V2105 |
Spherocylinder 4.00d/4.25-6d |
1,039 |
1,033 |
$28K |
| 92250 |
|
648 |
613 |
$19K |
| 92012 |
|
307 |
289 |
$19K |
| 92002 |
|
275 |
254 |
$15K |
| V2108 |
Spherocylinder 4.25d/2.12-4d |
293 |
292 |
$9K |
| 92342 |
|
152 |
152 |
$5K |
| V2204 |
Lens sphcy bifocal 4.00d/2.1 |
39 |
39 |
$2K |