| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2410 |
Variable asphericity lens, single vision, full field, glass or plastic, per lens |
6,535 |
5,821 |
$985K |
| V2020 |
Frames, purchases |
6,139 |
5,434 |
$247K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
6,796 |
6,013 |
$195K |
| V2750 |
Anti-reflective coating, per lens |
6,790 |
6,011 |
$187K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
3,444 |
3,136 |
$141K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
7,244 |
6,264 |
$133K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
1,987 |
1,742 |
$94K |
| V2025 |
Deluxe frame |
470 |
431 |
$42K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
341 |
322 |
$12K |
| V2755 |
U-v lens, per lens |
340 |
230 |
$9K |
| V2107 |
Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens |
24 |
24 |
$996.98 |
| V2105 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 4.25 to 6.00d cylinder, per lens |
14 |
12 |
$795.20 |
| 92370 |
|
15 |
14 |
$267.17 |
| S1001 |
Deluxe item, patient aware (list in addition to code for basic item) |
296 |
281 |
$0.00 |