| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Frames, purchases |
18,931 |
18,305 |
$547K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
13,411 |
13,005 |
$442K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
13,939 |
13,496 |
$281K |
| S0580 |
Polycarbonate lens (list this code in addition to the basic code for the lens) |
8,732 |
8,448 |
$249K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
4,142 |
4,049 |
$201K |
| 92342 |
|
4,222 |
4,125 |
$158K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
1,527 |
1,490 |
$35K |
| 92371 |
|
2,185 |
2,110 |
$14K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
116 |
110 |
$4K |
| V2105 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 4.25 to 6.00d cylinder, per lens |
29 |
28 |
$1K |