| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Frames, purchases |
5,669 |
5,654 |
$315K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
4,559 |
4,547 |
$281K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
5,071 |
5,056 |
$67K |
| S0580 |
Polycarbonate lens (list this code in addition to the basic code for the lens) |
1,416 |
1,413 |
$28K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
176 |
175 |
$16K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
576 |
575 |
$12K |
| 92341 |
|
352 |
352 |
$8K |
| 92370 |
|
845 |
841 |
$836.78 |