| Code | Description | Claims | Beneficiaries | Total Paid |
| V2020 |
Frames, purchases |
225,492 |
219,610 |
$1.83M |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
119,595 |
116,435 |
$870K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
51,085 |
49,669 |
$334K |
| V2781 |
Progressive lens, per lens |
8,572 |
8,414 |
$315K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
118,612 |
114,838 |
$250K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
29,388 |
28,945 |
$246K |
| V2760 |
Scratch resistant coating, per lens |
118,345 |
114,588 |
$246K |
| V2783 |
Lens, index greater than or equal to 1.66 plastic or greater than or equal to 1.80 glass, excludes polycarbonate, per lens |
3,862 |
3,810 |
$181K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
21,111 |
20,480 |
$127K |
| V2107 |
Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens |
14,855 |
14,435 |
$94K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
11,361 |
11,178 |
$81K |
| V2782 |
Lens, index 1.54 to 1.65 plastic or 1.60 to 1.79 glass, excludes polycarbonate, per lens |
1,736 |
1,538 |
$74K |
| V2108 |
Spherocylinder, single vision, plus or minus 4.25d to plus or minus 7.00d sphere, 2.12 to 4.00d cylinder, per lens |
4,693 |
4,543 |
$26K |
| V2750 |
Anti-reflective coating, per lens |
1,544 |
1,474 |
$23K |
| V2101 |
Sphere, single vision, plus or minus 4.12 to plus or minus 7.00d, per lens |
3,598 |
3,501 |
$21K |
| V2105 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 4.25 to 6.00d cylinder, per lens |
3,586 |
3,459 |
$20K |
| V2111 |
Spherocylinder, single vision, plus or minus 7.25 to plus or minus 12.00d sphere, .25 to 2.25d cylinder, per lens |
2,501 |
2,422 |
$16K |
| V2204 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
2,338 |
2,302 |
$15K |
| V2025 |
Deluxe frame |
1,175 |
1,132 |
$14K |
| V2207 |
Spherocylinder, bifocal, plus or minus 4.25 to plus or minus 7.00d sphere,.12 to 2.00d cylinder, per lens |
1,701 |
1,668 |
$12K |
| V2112 |
Spherocylinder, single vision, plus or minus 7.25 to plus or minus 12.00d sphere, 2.25d to 4.00d cylinder, per lens |
1,149 |
1,108 |
$7K |
| V2109 |
Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00d sphere, 4.25 to 6.00d cylinder, per lens |
1,092 |
1,058 |
$6K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
353 |
338 |
$5K |
| V2799 |
Vision item or service, miscellaneous |
1,185 |
1,169 |
$3K |
| V2102 |
Sphere, single vision, plus or minus 7.12 to plus or minus 20.00d, per lens |
179 |
175 |
$1K |
| V2208 |
Spherocylinder, bifocal, plus or minus 4.25 to plus or minus 7.00d sphere, 2.12 to 4.00d cylinder, per lens |
168 |
163 |
$1K |
| V2211 |
Spherocylinder, bifocal, plus or minus 7.25 to plus or minus 12.00d sphere, .25 to 2.25d cylinder, per lens |
92 |
88 |
$599.00 |
| V2201 |
Sphere, bifocal, plus or minus 4.12 to plus or minus 7.00d, per lens |
65 |
63 |
$389.00 |
| V2205 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, 4.25 to 6.00d cylinder, per lens |
30 |
29 |
$165.00 |
| V2113 |
Spherocylinder, single vision, plus or minus 7.25 to plus or minus 12.00d sphere, 4.25 to 6.00d cylinder, per lens |
14 |
14 |
$77.00 |