| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
633 |
633 |
$11K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
5,918 |
2,982 |
$2K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
500 |
260 |
$468.00 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
5,545 |
2,767 |
$128.82 |
| V2020 |
Frames, purchases |
3,565 |
3,530 |
$60.00 |
| V2750 |
Anti-reflective coating, per lens |
2,423 |
1,188 |
$0.00 |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
612 |
320 |
$0.00 |
| V2781 |
Progressive lens, per lens |
1,587 |
797 |
$0.00 |
| V2299 |
Specialty bifocal (by report) |
1,178 |
583 |
$0.00 |
| V2744 |
Tint, photochromatic, per lens |
1,465 |
724 |
$0.00 |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
550 |
292 |
$0.00 |