| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2410 |
Variable asphericity lens, single vision, full field, glass or plastic, per lens |
4,810 |
2,137 |
$763K |
| V2020 |
Frames, purchases |
6,999 |
3,114 |
$290K |
| V2755 |
U-v lens, per lens |
7,002 |
3,117 |
$233K |
| V2750 |
Anti-reflective coating, per lens |
6,501 |
2,859 |
$174K |
| V2430 |
Variable asphericity lens, bifocal, full field, glass or plastic, per lens |
928 |
348 |
$153K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
3,342 |
1,473 |
$151K |
| V2781 |
Progressive lens, per lens |
926 |
348 |
$119K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
6,396 |
2,861 |
$102K |
| V2745 |
Addition to lens; tint, any color, solid, gradient or equal, excludes photochromatic, any lens material, per lens |
2,989 |
2,443 |
$32K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
511 |
238 |
$20K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
288 |
123 |
$14K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
48 |
46 |
$1K |