| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2410 |
Lens variab asphericity sing |
14,373 |
11,431 |
$2.07M |
| 92014 |
|
9,424 |
8,830 |
$940K |
| V2020 |
Vision svcs frames purchases |
20,567 |
16,033 |
$808K |
| 92004 |
|
4,355 |
4,165 |
$517K |
| V2784 |
Lens polycarb or equal |
19,688 |
15,431 |
$514K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
11,242 |
8,939 |
$471K |
| 92340 |
|
19,933 |
15,646 |
$353K |
| V2750 |
Anti-reflective coating |
6,448 |
4,670 |
$181K |
| V2104 |
Spherocylindr 4.00d/2.12-4d |
3,661 |
2,782 |
$176K |
| V2100 |
Lens spher single plano 4.00 |
3,989 |
3,237 |
$161K |
| 99213 |
|
618 |
554 |
$37K |
| V2105 |
Spherocylinder 4.00d/4.25-6d |
261 |
169 |
$11K |
| 99211 |
|
643 |
613 |
$11K |
| V2107 |
Spherocylinder 4.25d/12-2d |
167 |
117 |
$9K |
| 92015 |
|
14,271 |
13,440 |
$8K |
| 99212 |
|
191 |
183 |
$8K |
| V2744 |
Tint photochromatic lens/es |
315 |
230 |
$5K |
| V2118 |
Lens aniseikonic single |
29 |
27 |
$2K |
| V2101 |
Single visn sphere 4.12-7.00 |
21 |
18 |
$802.89 |
| V2715 |
Prism lens/es |
30 |
25 |
$534.99 |