| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Frames, purchases |
1,523 |
1,507 |
$49K |
| 92341 |
|
1,288 |
1,201 |
$22K |
| 92370 |
|
1,802 |
1,688 |
$12K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
687 |
659 |
$9K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
239 |
181 |
$8K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
133 |
96 |
$7K |
| 92371 |
|
249 |
233 |
$2K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
477 |
271 |
$1K |