| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Vision svcs frames purchases |
49,307 |
48,649 |
$1.19M |
| 99213 |
|
18,380 |
17,779 |
$1.18M |
| 92060 |
|
16,937 |
16,750 |
$1.02M |
| 99203 |
|
8,493 |
8,276 |
$798K |
| 92340 |
|
41,065 |
40,743 |
$741K |
| 92014 |
|
15,654 |
15,570 |
$706K |
| 92004 |
|
15,566 |
15,477 |
$701K |
| 92250 |
|
9,700 |
9,422 |
$651K |
| 92015 |
|
30,739 |
29,675 |
$537K |
| V2025 |
Eyeglasses delux frames |
11,254 |
11,214 |
$464K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
31,388 |
31,030 |
$454K |
| V2784 |
Lens polycarb or equal |
28,374 |
28,154 |
$115K |
| V2100 |
Lens spher single plano 4.00 |
7,623 |
7,586 |
$92K |
| V2104 |
Spherocylindr 4.00d/2.12-4d |
5,753 |
5,726 |
$70K |
| V2203 |
Lens sphcyl bifocal 4.00d/.1 |
2,596 |
2,570 |
$68K |
| V2107 |
Spherocylinder 4.25d/12-2d |
4,649 |
4,621 |
$63K |
| 92081 |
|
1,276 |
1,230 |
$38K |
| 99214 |
|
355 |
350 |
$32K |
| 92083 |
|
487 |
478 |
$28K |
| V2108 |
Spherocylinder 4.25d/2.12-4d |
1,196 |
1,192 |
$15K |
| V2105 |
Spherocylinder 4.00d/4.25-6d |
1,239 |
1,233 |
$15K |
| V2200 |
Lens spher bifoc plano 4.00d |
606 |
602 |
$14K |
| V2207 |
Lens sphcy bifocal 4.25-7d/. |
475 |
474 |
$12K |
| V2101 |
Single visn sphere 4.12-7.00 |
554 |
545 |
$7K |
| 92133 |
|
136 |
132 |
$5K |
| 92341 |
|
107 |
106 |
$2K |
| 99212 |
|
47 |
44 |
$2K |
| V2750 |
Anti-reflective coating |
87 |
86 |
$862.60 |
| V2783 |
Lens, >= 1.66 p/>=1.80 g |
12 |
12 |
$690.00 |
| V2204 |
Lens sphcy bifocal 4.00d/2.1 |
12 |
12 |
$294.00 |
| 92285 |
|
14 |
14 |
$259.54 |
| V2109 |
Spherocylinder 4.25d/4.25-6d |
12 |
12 |
$127.50 |
| V2781 |
Progressive lens per lens |
130 |
130 |
$0.00 |
| 2023F |
|
14 |
12 |
$0.00 |
| G8427 |
Docrev cur meds by elig clin |
13 |
13 |
$0.00 |