| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
33,991 |
11,418 |
$905K |
| V2020 |
Frames, purchases |
21,228 |
14,281 |
$791K |
| V2760 |
Scratch resistant coating, per lens |
7,976 |
2,469 |
$78K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
1,904 |
897 |
$68K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
36,460 |
12,252 |
$67K |
| V2744 |
Tint, photochromatic, per lens |
2,098 |
964 |
$65K |
| V2299 |
Specialty bifocal (by report) |
1,390 |
695 |
$52K |
| V2781 |
Progressive lens, per lens |
1,525 |
757 |
$45K |
| V2750 |
Anti-reflective coating, per lens |
2,038 |
898 |
$37K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
663 |
287 |
$18K |