| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
|
7,319 |
7,100 |
$616K |
| V2020 |
Vision svcs frames purchases |
23,673 |
21,677 |
$603K |
| 92340 |
|
21,097 |
19,527 |
$467K |
| V2784 |
Lens polycarb or equal |
16,956 |
16,149 |
$448K |
| 92014 |
|
5,044 |
4,862 |
$365K |
| 92341 |
|
11,371 |
10,612 |
$320K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
10,268 |
9,418 |
$258K |
| V2219 |
Lens bifocal seg width over |
6,789 |
6,196 |
$216K |
| V2203 |
Lens sphcyl bifocal 4.00d/.1 |
5,237 |
4,774 |
$198K |
| 92015 |
|
13,617 |
13,202 |
$150K |
| S0580 |
Polycarb lens |
5,789 |
4,858 |
$134K |
| V2100 |
Lens spher single plano 4.00 |
1,766 |
1,631 |
$56K |
| V2107 |
Spherocylinder 4.25d/12-2d |
697 |
670 |
$25K |
| V2104 |
Spherocylindr 4.00d/2.12-4d |
783 |
747 |
$24K |
| V2783 |
Lens, >= 1.66 p/>=1.80 g |
147 |
144 |
$11K |
| V2200 |
Lens spher bifoc plano 4.00d |
136 |
130 |
$6K |
| V2204 |
Lens sphcy bifocal 4.00d/2.1 |
13 |
12 |
$38.31 |
| 92370 |
|
27 |
26 |
$21.99 |