| Code | Description | Claims | Beneficiaries | Total Paid |
| V2020 |
Frames, purchases |
240,254 |
235,311 |
$5.16M |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
148,944 |
146,083 |
$2.40M |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
224,989 |
220,816 |
$1.57M |
| V2025 |
Deluxe frame |
19,565 |
19,228 |
$980K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
60,967 |
59,777 |
$896K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
42,984 |
42,274 |
$716K |
| V2410 |
Variable asphericity lens, single vision, full field, glass or plastic, per lens |
10,442 |
10,278 |
$579K |
| V2783 |
Lens, index greater than or equal to 1.66 plastic or greater than or equal to 1.80 glass, excludes polycarbonate, per lens |
7,972 |
7,840 |
$575K |
| V2107 |
Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens |
14,551 |
13,973 |
$244K |
| V2105 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 4.25 to 6.00d cylinder, per lens |
11,399 |
11,217 |
$243K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
8,202 |
8,003 |
$166K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
6,313 |
6,204 |
$130K |
| V2108 |
Spherocylinder, single vision, plus or minus 4.25d to plus or minus 7.00d sphere, 2.12 to 4.00d cylinder, per lens |
5,513 |
5,389 |
$98K |
| V2121 |
Lenticular lens, per lens, single |
2,037 |
2,001 |
$76K |
| V2101 |
Sphere, single vision, plus or minus 4.12 to plus or minus 7.00d, per lens |
3,339 |
3,261 |
$50K |
| V2111 |
Spherocylinder, single vision, plus or minus 7.25 to plus or minus 12.00d sphere, .25 to 2.25d cylinder, per lens |
1,722 |
1,681 |
$49K |
| V2109 |
Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00d sphere, 4.25 to 6.00d cylinder, per lens |
1,805 |
1,765 |
$39K |
| V2204 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
1,392 |
1,362 |
$28K |
| V2112 |
Spherocylinder, single vision, plus or minus 7.25 to plus or minus 12.00d sphere, 2.25d to 4.00d cylinder, per lens |
965 |
946 |
$27K |
| V2430 |
Variable asphericity lens, bifocal, full field, glass or plastic, per lens |
311 |
306 |
$21K |
| V2207 |
Spherocylinder, bifocal, plus or minus 4.25 to plus or minus 7.00d sphere,.12 to 2.00d cylinder, per lens |
838 |
821 |
$17K |
| V2106 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, over 6.00d cylinder, per lens |
460 |
452 |
$12K |
| V2114 |
Spherocylinder, single vision, sphere over plus or minus 12.00d, per lens |
56 |
56 |
$3K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
56 |
56 |
$3K |
| V2715 |
Prism, per lens |
1,187 |
1,134 |
$2K |
| V2102 |
Sphere, single vision, plus or minus 7.12 to plus or minus 20.00d, per lens |
12 |
12 |
$255.75 |