UT ($864K) TX ($587K) NY ($234K) MN ($121K) MS ($72K) CT ($35K) AK ($29K) SC ($26K) PA ($19K) AL ($10K) OH ($8K) NV ($2K) MA ($2K)
| Code | Description | Total Paid |
|---|---|---|
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | $610K |
| V2020 | Frames, purchases | $550K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | $173K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | $161K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | $125K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | $85K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | $83K |
| 92015 | Determination of refractive state | $54K |
| V2025 | Deluxe frame | $48K |
| V2105 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 4.25 to 6.00d cylinder, per lens | $28K |
| # | Provider | Location | Claims | Total Paid |
|---|---|---|---|---|
| 1 | EYE CARE FOR KIDS | MIDVALE, UT | 24,124 | $864K |
| 2 | SAFIR, BORIS | DALLAS, TX | 17,930 | $436K |
| 3 | KELLY'S FASHION OPTICAL | BRONX, NY | 14,874 | $166K |
| 4 | I M I S MINNESOTA INC | EDEN PRAIRIE, MN | 5,222 | $109K |
| 5 | YU, DAW-CHING | HOUSTON, TX | 1,996 | $76K |
| 6 | HERITAGE VISION CENTER INC | HATTIESBURG, MS | 2,979 | $72K |
| 7 | ABC OPTICAL, INC | EL PASO, TX | 2,549 | $67K |
| 8 | EYEVIEW OPTICAL LLC | FLUSHING, NY | 2,100 | $66K |
| 9 | EYE SURGERY ASSOCIATES LLC | STRATFORD, CT | 1,434 | $35K |
| 10 | COOK INLET EYECARE INC | ANCHORAGE, AK | 636 | $29K |
| 11 | EYE GUYS CAROLINA LLC | AIKEN, SC | 1,373 | $25K |
| 12 | CUSSATT, JOSEPH | WEST HAZLETON, PA | 642 | $19K |
| 13 | I M I S MINNESOTA INC | MINNETONKA, MN | 426 | $12K |
| 14 | R&S PRODUCTION & GLASSES FOR LESS | ALBERTVILLE, AL | 561 | $10K |
| 15 | FLASH EYEWEAR AND REPAIR LLC | HOUSTON, TX | 535 | $9K |
| 16 | EXCEPTIONAL EYECARE LLC | CLEVELAND, OH | 425 | $8K |
| 17 | DAVIS OPTICAL CENTERS | RENO, NV | 49 | $2K |
| 18 | BUNZ, DENNIS | CHEEKTOWAGA, NY | 154 | $2K |
| 19 | BARRE OPTICIANS INC. | SOUTH BARRE, MA | 49 | $1K |
| 20 | DAVIS, TONYA | COLUMBIA, SC | 79 | $1K |
| 21 | LINO, EDSON | SOMERVILLE, MA | 16 | $451.04 |
| 22 | WEB OPTICS INC | WEST BABYLON, NY | 24 | $363.60 |
| 23 | ANDOVER OPTICAL INC | ANDOVER, MN | 61 | $331.00 |