| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Frames, purchases |
5,514 |
5,367 |
$158K |
| S0580 |
Polycarbonate lens (list this code in addition to the basic code for the lens) |
5,483 |
5,379 |
$156K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
2,713 |
2,670 |
$91K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
4,243 |
4,166 |
$87K |
| 92341 |
|
1,097 |
1,087 |
$25K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
458 |
455 |
$22K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
208 |
203 |
$6K |