| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Frames, purchases |
10,472 |
10,159 |
$296K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
7,925 |
7,744 |
$160K |
| S0580 |
Polycarbonate lens (list this code in addition to the basic code for the lens) |
5,319 |
5,173 |
$151K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
5,412 |
5,093 |
$148K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
2,262 |
2,119 |
$87K |
| 92341 |
|
2,629 |
2,574 |
$61K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
2,130 |
2,043 |
$48K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
574 |
554 |
$13K |
| V2107 |
Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens |
318 |
298 |
$10K |
| V2730 |
Special base curve, glass or plastic, per lens |
506 |
495 |
$8K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
159 |
153 |
$5K |
| 92370 |
|
14 |
14 |
$92.40 |