| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Frames, purchases |
20,106 |
17,755 |
$575K |
| S0580 |
Polycarbonate lens (list this code in addition to the basic code for the lens) |
20,359 |
18,014 |
$574K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
14,090 |
11,964 |
$460K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
17,451 |
15,251 |
$350K |
| V2799 |
Vision item or service, miscellaneous |
9,587 |
7,521 |
$346K |
| V2106 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, over 6.00d cylinder, per lens |
2,217 |
2,166 |
$86K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
1,606 |
1,528 |
$77K |
| 92341 |
|
2,572 |
2,469 |
$60K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
594 |
582 |
$27K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
537 |
524 |
$14K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
487 |
483 |
$10K |
| V2107 |
Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens |
233 |
229 |
$8K |
| V2206 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, over 6.00d cylinder, per lens |
156 |
151 |
$8K |
| V2108 |
Spherocylinder, single vision, plus or minus 4.25d to plus or minus 7.00d sphere, 2.12 to 4.00d cylinder, per lens |
13 |
13 |
$641.16 |
| V2105 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 4.25 to 6.00d cylinder, per lens |
16 |
16 |
$597.04 |
| 92371 |
|
93 |
89 |
$541.20 |
| 92370 |
|
25 |
25 |
$158.40 |