| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Frames, purchases |
10,320 |
8,373 |
$299K |
| S0580 |
Polycarbonate lens (list this code in addition to the basic code for the lens) |
7,905 |
6,020 |
$226K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
10,201 |
8,047 |
$206K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
5,651 |
4,411 |
$159K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
2,534 |
2,003 |
$60K |
| 92342 |
|
1,323 |
1,254 |
$49K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
1,082 |
833 |
$26K |
| V2107 |
Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens |
317 |
257 |
$10K |
| 92370 |
|
1,203 |
1,140 |
$8K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
103 |
99 |
$5K |