| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,489 |
2,474 |
$76K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
1,578 |
1,562 |
$36K |
| V2020 |
Frames, purchases |
2,505 |
2,494 |
$25K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
862 |
858 |
$19K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
24 |
24 |
$460.35 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
2,209 |
2,203 |
$0.00 |