| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2410 |
Variable asphericity lens, single vision, full field, glass or plastic, per lens |
10,533 |
9,570 |
$1.60M |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
11,527 |
10,363 |
$343K |
| V2020 |
Frames, purchases |
8,330 |
7,572 |
$320K |
| V2750 |
Anti-reflective coating, per lens |
11,488 |
10,339 |
$296K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
11,967 |
10,531 |
$219K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
3,548 |
3,290 |
$147K |
| V2025 |
Deluxe frame |
868 |
798 |
$76K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
648 |
584 |
$32K |
| V2755 |
U-v lens, per lens |
667 |
495 |
$18K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
183 |
176 |
$9K |
| V2430 |
Variable asphericity lens, bifocal, full field, glass or plastic, per lens |
16 |
14 |
$3K |
| V2107 |
Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens |
28 |
24 |
$1K |
| V2105 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 4.25 to 6.00d cylinder, per lens |
17 |
14 |
$914.48 |
| S1001 |
Deluxe item, patient aware (list in addition to code for basic item) |
181 |
177 |
$0.00 |