| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Frames, purchases |
7,614 |
7,479 |
$224K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
5,537 |
5,432 |
$109K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
3,065 |
3,029 |
$101K |
| S0580 |
Polycarbonate lens (list this code in addition to the basic code for the lens) |
3,153 |
3,095 |
$91K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
1,380 |
1,368 |
$67K |
| 92341 |
|
1,982 |
1,962 |
$47K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
575 |
568 |
$18K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
300 |
283 |
$8K |
| V2107 |
Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens |
26 |
26 |
$1K |