| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
4,995 |
4,918 |
$109K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
3,991 |
2,888 |
$103K |
| V2020 |
Frames, purchases |
3,026 |
2,969 |
$70K |
| 92341 |
|
782 |
771 |
$20K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
1,854 |
932 |
$16K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
657 |
656 |
$14K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
124 |
124 |
$5K |
| 92370 |
|
84 |
83 |
$2K |