| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2410 |
Lens variab asphericity sing |
20,427 |
14,875 |
$2.89M |
| 92014 |
|
22,147 |
18,080 |
$2.22M |
| V2020 |
Vision svcs frames purchases |
48,960 |
35,329 |
$1.72M |
| 92004 |
|
10,058 |
8,179 |
$1.19M |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
29,856 |
17,834 |
$945K |
| 92340 |
|
44,230 |
32,103 |
$734K |
| V2784 |
Lens polycarb or equal |
44,411 |
32,564 |
$690K |
| V2104 |
Spherocylindr 4.00d/2.12-4d |
12,705 |
7,738 |
$471K |
| V2100 |
Lens spher single plano 4.00 |
10,565 |
6,570 |
$342K |
| V2105 |
Spherocylinder 4.00d/4.25-6d |
2,942 |
1,839 |
$131K |
| 92015 |
|
12,572 |
6,972 |
$131K |
| 92012 |
|
1,252 |
1,060 |
$87K |
| 99204 |
|
269 |
230 |
$37K |
| 92341 |
|
1,620 |
1,210 |
$32K |
| V2203 |
Lens sphcyl bifocal 4.00d/.1 |
445 |
309 |
$20K |
| V2107 |
Spherocylinder 4.25d/12-2d |
275 |
157 |
$10K |
| V2430 |
Lens variable asphericity bi |
51 |
36 |
$8K |
| 99212 |
|
114 |
75 |
$4K |
| V2200 |
Lens spher bifoc plano 4.00d |
63 |
50 |
$3K |
| 92250 |
|
52 |
47 |
$3K |
| V2108 |
Spherocylinder 4.25d/2.12-4d |
60 |
50 |
$3K |
| 92370 |
|
158 |
132 |
$2K |
| 99214 |
|
21 |
13 |
$2K |