| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2410 |
Variable asphericity lens, single vision, full field, glass or plastic, per lens |
3,178 |
3,121 |
$189K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
8,075 |
7,918 |
$171K |
| V2020 |
Frames, purchases |
8,349 |
8,194 |
$154K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
4,074 |
3,992 |
$85K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
4,770 |
4,683 |
$77K |
| V2430 |
Variable asphericity lens, bifocal, full field, glass or plastic, per lens |
518 |
512 |
$48K |
| V2760 |
Scratch resistant coating, per lens |
4,484 |
4,374 |
$46K |
| 92341 |
|
859 |
839 |
$22K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
798 |
780 |
$18K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
425 |
423 |
$6K |
| V2107 |
Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens |
183 |
183 |
$3K |
| S0580 |
Polycarbonate lens (list this code in addition to the basic code for the lens) |
20 |
20 |
$180.00 |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
13 |
12 |
$179.44 |