| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Frames, purchases |
1,381,907 |
1,246,818 |
$21.18M |
| S0504 |
Single vision prescription lens (safety, athletic, or sunglass), per lens |
1,531,754 |
1,316,231 |
$14.85M |
| S0580 |
Polycarbonate lens (list this code in addition to the basic code for the lens) |
618,307 |
605,255 |
$7.22M |
| V2025 |
Deluxe frame |
427,296 |
382,811 |
$4.56M |
| S0506 |
Bifocal vision prescription lens (safety, athletic, or sunglass), per lens |
281,827 |
280,260 |
$3.90M |
| S0581 |
Nonstandard lens (list this code in addition to the basic code for the lens) |
20,610 |
18,744 |
$476K |
| V2744 |
Tint, photochromatic, per lens |
1,550 |
1,489 |
$145K |
| V2745 |
Addition to lens; tint, any color, solid, gradient or equal, excludes photochromatic, any lens material, per lens |
5,956 |
5,431 |
$21K |
| V2121 |
Lenticular lens, per lens, single |
21 |
19 |
$788.64 |