| Code | Description | Claims | Beneficiaries | Total Paid |
| V2020 |
Frames, purchases |
332,725 |
329,104 |
$7.73M |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
228,739 |
225,973 |
$2.11M |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
112,803 |
111,725 |
$1.72M |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
50,875 |
50,222 |
$1.49M |
| V2430 |
Variable asphericity lens, bifocal, full field, glass or plastic, per lens |
22,755 |
22,526 |
$1.28M |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
48,285 |
47,705 |
$1.25M |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
54,876 |
54,276 |
$882K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
13,977 |
13,904 |
$238K |
| V2750 |
Anti-reflective coating, per lens |
7,175 |
7,092 |
$232K |
| V2107 |
Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens |
9,377 |
9,268 |
$171K |
| V2781 |
Progressive lens, per lens |
2,372 |
2,359 |
$143K |
| V2710 |
Slab off prism, glass or plastic, per lens |
3,191 |
3,145 |
$133K |
| V2744 |
Tint, photochromatic, per lens |
6,632 |
6,521 |
$98K |
| V2303 |
Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens |
3,010 |
2,973 |
$98K |
| V2300 |
Sphere, trifocal, plano to plus or minus 4.00d, per lens |
2,431 |
2,392 |
$88K |
| V2105 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 4.25 to 6.00d cylinder, per lens |
3,668 |
3,649 |
$71K |
| V2204 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
2,072 |
2,061 |
$60K |
| V2207 |
Spherocylinder, bifocal, plus or minus 4.25 to plus or minus 7.00d sphere,.12 to 2.00d cylinder, per lens |
1,578 |
1,561 |
$45K |
| V2101 |
Sphere, single vision, plus or minus 4.12 to plus or minus 7.00d, per lens |
1,373 |
1,363 |
$20K |
| V2108 |
Spherocylinder, single vision, plus or minus 4.25d to plus or minus 7.00d sphere, 2.12 to 4.00d cylinder, per lens |
528 |
526 |
$11K |
| V2220 |
Bifocal add over 3.25d |
260 |
258 |
$2K |
| V2205 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, 4.25 to 6.00d cylinder, per lens |
43 |
43 |
$1K |
| V2745 |
Addition to lens; tint, any color, solid, gradient or equal, excludes photochromatic, any lens material, per lens |
214 |
209 |
$803.39 |
| V2025 |
Deluxe frame |
12 |
12 |
$494.57 |
| V2109 |
Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00d sphere, 4.25 to 6.00d cylinder, per lens |
13 |
13 |
$342.00 |
| V2219 |
Bifocal seg width over 28 mm |
40 |
40 |
$203.00 |
| V2599 |
Contact lens, other type |
33 |
29 |
$0.00 |
| 92326 |
|
34 |
30 |
$0.00 |