| Code | Description | Claims | Beneficiaries | Total Paid |
| V2020 |
Frames, purchases |
751,645 |
718,295 |
$6.73M |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
469,548 |
449,061 |
$4.10M |
| S0581 |
Nonstandard lens (list this code in addition to the basic code for the lens) |
172,698 |
87,688 |
$3.07M |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
185,826 |
177,837 |
$1.48M |
| S0580 |
Polycarbonate lens (list this code in addition to the basic code for the lens) |
62,182 |
59,550 |
$1.38M |
| V2025 |
Deluxe frame |
31,324 |
29,720 |
$1.32M |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
142,063 |
135,981 |
$1.09M |
| V2510 |
Contact lens, gas permeable, spherical, per lens |
2,636 |
2,518 |
$540K |
| V2107 |
Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens |
54,728 |
52,238 |
$423K |
| V2521 |
Contact lens, hydrophilic, toric, or prism ballast, per lens |
1,723 |
1,700 |
$413K |
| V2105 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 4.25 to 6.00d cylinder, per lens |
36,412 |
34,862 |
$265K |
| V2108 |
Spherocylinder, single vision, plus or minus 4.25d to plus or minus 7.00d sphere, 2.12 to 4.00d cylinder, per lens |
21,106 |
20,154 |
$149K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
8,345 |
7,968 |
$140K |
| V2520 |
Contact lens, hydrophilic, spherical, per lens |
705 |
695 |
$103K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
5,954 |
5,698 |
$100K |
| V2101 |
Sphere, single vision, plus or minus 4.12 to plus or minus 7.00d, per lens |
13,126 |
12,576 |
$93K |
| V2111 |
Spherocylinder, single vision, plus or minus 7.25 to plus or minus 12.00d sphere, .25 to 2.25d cylinder, per lens |
7,982 |
7,626 |
$66K |
| V2109 |
Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00d sphere, 4.25 to 6.00d cylinder, per lens |
7,004 |
6,701 |
$49K |
| V2112 |
Spherocylinder, single vision, plus or minus 7.25 to plus or minus 12.00d sphere, 2.25d to 4.00d cylinder, per lens |
4,628 |
4,412 |
$36K |
| V2531 |
Contact lens, scleral, gas permeable, per lens (for contact lens modification, see 92325) |
214 |
193 |
$36K |
| V2207 |
Spherocylinder, bifocal, plus or minus 4.25 to plus or minus 7.00d sphere,.12 to 2.00d cylinder, per lens |
1,939 |
1,847 |
$31K |
| V2204 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
1,356 |
1,287 |
$20K |
| V2106 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, over 6.00d cylinder, per lens |
2,152 |
2,062 |
$15K |
| V2102 |
Sphere, single vision, plus or minus 7.12 to plus or minus 20.00d, per lens |
1,234 |
1,175 |
$10K |
| V2715 |
Prism, per lens |
7,577 |
7,224 |
$7K |
| V2113 |
Spherocylinder, single vision, plus or minus 7.25 to plus or minus 12.00d sphere, 4.25 to 6.00d cylinder, per lens |
342 |
323 |
$2K |
| V2208 |
Spherocylinder, bifocal, plus or minus 4.25 to plus or minus 7.00d sphere, 2.12 to 4.00d cylinder, per lens |
111 |
108 |
$2K |
| V2211 |
Spherocylinder, bifocal, plus or minus 7.25 to plus or minus 12.00d sphere, .25 to 2.25d cylinder, per lens |
76 |
68 |
$1K |
| V2744 |
Tint, photochromatic, per lens |
25 |
24 |
$817.52 |
| V2110 |
Spherocylinder, single vision, plus or minus 4.25 to 7.00d sphere, over 6.00d cylinder, per lens |
38 |
37 |
$253.92 |
| V2205 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, 4.25 to 6.00d cylinder, per lens |
14 |
13 |
$250.50 |