| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,710 |
1,587 |
$39K |
| V2020 |
Frames, purchases |
1,292 |
1,139 |
$30K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
795 |
771 |
$14K |
| S0580 |
Polycarbonate lens (list this code in addition to the basic code for the lens) |
566 |
426 |
$9K |
| 92341 |
|
294 |
292 |
$9K |
| 92370 |
|
317 |
311 |
$7K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
281 |
206 |
$6K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
99 |
98 |
$2K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
32 |
30 |
$1K |