| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Frames, purchases |
32,818 |
31,088 |
$939K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
29,118 |
27,353 |
$583K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
19,042 |
18,057 |
$551K |
| S0580 |
Polycarbonate lens (list this code in addition to the basic code for the lens) |
18,632 |
17,519 |
$526K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
5,856 |
5,662 |
$247K |
| 92341 |
|
6,820 |
6,573 |
$157K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
5,738 |
5,423 |
$127K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
3,672 |
3,455 |
$88K |
| V2107 |
Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens |
2,330 |
2,204 |
$77K |
| 92370 |
|
10,696 |
10,126 |
$67K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
896 |
871 |
$27K |
| V2025 |
Deluxe frame |
111 |
102 |
$10K |
| V2730 |
Special base curve, glass or plastic, per lens |
652 |
582 |
$8K |
| 92342 |
|
147 |
144 |
$5K |
| V2105 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 4.25 to 6.00d cylinder, per lens |
173 |
166 |
$5K |
| V2108 |
Spherocylinder, single vision, plus or minus 4.25d to plus or minus 7.00d sphere, 2.12 to 4.00d cylinder, per lens |
145 |
141 |
$5K |
| V2204 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
41 |
41 |
$1K |
| V2780 |
Oversize lens, per lens |
84 |
81 |
$1K |
| V2101 |
Sphere, single vision, plus or minus 4.12 to plus or minus 7.00d, per lens |
13 |
12 |
$238.65 |