| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Frames, purchases |
2,584 |
2,429 |
$53K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,327 |
2,173 |
$38K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
2,468 |
2,299 |
$35K |
| V2750 |
Anti-reflective coating, per lens |
474 |
287 |
$29K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
1,356 |
1,246 |
$16K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
519 |
494 |
$6K |
| V2755 |
U-v lens, per lens |
23 |
20 |
$390.00 |