| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92015 |
|
58,949 |
57,287 |
$2.06M |
| 92014 |
|
38,133 |
36,988 |
$1.79M |
| V2020 |
Vision svcs frames purchases |
58,875 |
56,713 |
$1.70M |
| 92004 |
|
21,595 |
20,915 |
$1.36M |
| 92340 |
|
53,635 |
51,624 |
$1.13M |
| S0580 |
Polycarb lens |
30,548 |
29,578 |
$875K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
29,431 |
28,573 |
$841K |
| 92250 |
|
12,336 |
11,679 |
$406K |
| V2100 |
Lens spher single plano 4.00 |
15,557 |
15,037 |
$377K |
| V2203 |
Lens sphcyl bifocal 4.00d/.1 |
4,654 |
4,450 |
$188K |
| 92341 |
|
6,705 |
6,430 |
$156K |
| V2104 |
Spherocylindr 4.00d/2.12-4d |
4,727 |
4,578 |
$121K |
| 99212 |
|
3,950 |
3,609 |
$75K |
| 99213 |
|
1,770 |
1,579 |
$54K |
| V2107 |
Spherocylinder 4.25d/12-2d |
1,505 |
1,450 |
$49K |
| 92083 |
|
416 |
397 |
$14K |
| V2200 |
Lens spher bifoc plano 4.00d |
392 |
363 |
$12K |
| 92133 |
|
224 |
205 |
$4K |
| V2101 |
Single visn sphere 4.12-7.00 |
12 |
12 |
$302.29 |
| G8785 |
Bp scrn no perf at interval |
12 |
12 |
$0.00 |
| G8428 |
Cur meds not document |
159 |
142 |
$0.00 |
| G8732 |
No doc of pain |
237 |
200 |
$0.00 |