| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Frames, purchases |
1,094 |
1,086 |
$43K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
680 |
676 |
$40K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
494 |
492 |
$7K |
| S0580 |
Polycarbonate lens (list this code in addition to the basic code for the lens) |
323 |
323 |
$6K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
73 |
73 |
$5K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
14 |
14 |
$1K |