| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
44,395 |
38,877 |
$1.29M |
| 92341 |
|
10,386 |
10,201 |
$362K |
| V2020 |
Frames, purchases |
1,087 |
1,034 |
$121K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
572 |
556 |
$50K |
| 92370 |
|
3,618 |
3,489 |
$41K |
| V2755 |
U-v lens, per lens |
835 |
808 |
$29K |
| V2760 |
Scratch resistant coating, per lens |
829 |
805 |
$22K |
| V2521 |
Contact lens, hydrophilic, toric, or prism ballast, per lens |
51 |
50 |
$14K |
| 92310 |
|
81 |
79 |
$9K |
| 92342 |
|
141 |
141 |
$2K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
26 |
25 |
$2K |