| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Vision svcs frames purchases |
6,330 |
6,109 |
$177K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
2,006 |
1,897 |
$39K |
| V2784 |
Lens polycarb or equal |
3,191 |
3,043 |
$14K |
| V2203 |
Lens sphcyl bifocal 4.00d/.1 |
236 |
227 |
$11K |
| V2100 |
Lens spher single plano 4.00 |
2,749 |
2,684 |
$10K |
| V2107 |
Spherocylinder 4.25d/12-2d |
13 |
13 |
$251.00 |
| V2200 |
Lens spher bifoc plano 4.00d |
95 |
94 |
$217.00 |
| V2410 |
Lens variab asphericity sing |
139 |
137 |
$30.00 |
| V2750 |
Anti-reflective coating |
663 |
647 |
$0.00 |
| V2797 |
Vis item/svc in other code |
893 |
880 |
$0.00 |
| V2745 |
Tint, any color/solid/grad |
64 |
64 |
$0.00 |
| V2744 |
Tint photochromatic lens/es |
119 |
119 |
$0.00 |
| V2781 |
Progressive lens per lens |
110 |
108 |
$0.00 |
| V2799 |
Misc vision item or service |
34 |
33 |
$0.00 |