| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2410 |
Lens variab asphericity sing |
40,414 |
32,892 |
$5.67M |
| 92014 |
|
35,599 |
33,379 |
$3.53M |
| V2020 |
Vision svcs frames purchases |
66,007 |
53,193 |
$2.55M |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
39,062 |
31,773 |
$1.60M |
| V2784 |
Lens polycarb or equal |
60,384 |
48,592 |
$1.46M |
| 92004 |
|
10,244 |
9,559 |
$1.19M |
| 92340 |
|
64,442 |
52,093 |
$1.12M |
| V2750 |
Anti-reflective coating |
18,771 |
14,505 |
$512K |
| V2104 |
Spherocylindr 4.00d/2.12-4d |
10,850 |
8,423 |
$500K |
| V2100 |
Lens spher single plano 4.00 |
13,022 |
10,971 |
$486K |
| 99213 |
|
1,500 |
1,354 |
$93K |
| V2107 |
Spherocylinder 4.25d/12-2d |
1,933 |
1,532 |
$84K |
| V2105 |
Spherocylinder 4.00d/4.25-6d |
1,172 |
874 |
$58K |
| 99212 |
|
1,391 |
1,261 |
$52K |
| 99211 |
|
2,027 |
1,967 |
$35K |
| 92015 |
|
46,527 |
43,508 |
$34K |
| 92012 |
|
219 |
213 |
$15K |
| V2108 |
Spherocylinder 4.25d/2.12-4d |
175 |
142 |
$8K |
| V2744 |
Tint photochromatic lens/es |
369 |
327 |
$5K |