| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Frames, purchases |
2,173 |
2,131 |
$63K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,904 |
1,883 |
$36K |
| 92341 |
|
992 |
970 |
$22K |
| V2105 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 4.25 to 6.00d cylinder, per lens |
1,178 |
1,164 |
$21K |
| V2202 |
Sphere, bifocal, plus or minus 7.12 to plus or minus 20.00d, per lens |
587 |
566 |
$12K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
406 |
196 |
$8K |
| V2756 |
Eye glass case |
114 |
100 |
$21.06 |