| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2745 |
Addition to lens; tint, any color, solid, gradient or equal, excludes photochromatic, any lens material, per lens |
5,060 |
4,687 |
$404K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
10,516 |
9,692 |
$165K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
9,772 |
9,029 |
$144K |
| V2020 |
Frames, purchases |
9,899 |
9,175 |
$108K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
7,969 |
7,360 |
$100K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
582 |
545 |
$11K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
749 |
696 |
$6K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
17 |
16 |
$420.00 |
| V2107 |
Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens |
34 |
32 |
$309.80 |