| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Frames, purchases |
6,877 |
6,722 |
$202K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
5,629 |
5,478 |
$116K |
| S0580 |
Polycarbonate lens (list this code in addition to the basic code for the lens) |
3,766 |
3,707 |
$110K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
3,304 |
3,258 |
$95K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
924 |
915 |
$39K |
| 92341 |
|
1,443 |
1,429 |
$34K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
940 |
931 |
$21K |
| V2730 |
Special base curve, glass or plastic, per lens |
608 |
599 |
$8K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
280 |
276 |
$7K |
| V2107 |
Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens |
49 |
48 |
$2K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
12 |
12 |
$396.80 |
| V2799 |
Vision item or service, miscellaneous |
26 |
25 |
$223.80 |
| 92370 |
|
13 |
12 |
$85.80 |