| Code | Description | Claims | Beneficiaries | Total Paid |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
467,420 |
450,095 |
$6.49M |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
360,420 |
352,804 |
$2.84M |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
104,563 |
104,360 |
$2.35M |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
149,188 |
143,950 |
$1.78M |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
112,287 |
109,607 |
$1.32M |
| V2107 |
Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens |
44,926 |
43,735 |
$625K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
30,594 |
30,546 |
$544K |
| V2744 |
Tint, photochromatic, per lens |
9,715 |
9,676 |
$331K |
| V2105 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 4.25 to 6.00d cylinder, per lens |
26,088 |
25,605 |
$297K |
| V2108 |
Spherocylinder, single vision, plus or minus 4.25d to plus or minus 7.00d sphere, 2.12 to 4.00d cylinder, per lens |
16,048 |
15,728 |
$199K |
| V2204 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
10,428 |
10,406 |
$178K |
| V2101 |
Sphere, single vision, plus or minus 4.12 to plus or minus 7.00d, per lens |
8,564 |
8,306 |
$106K |
| V2207 |
Spherocylinder, bifocal, plus or minus 4.25 to plus or minus 7.00d sphere,.12 to 2.00d cylinder, per lens |
4,533 |
4,523 |
$99K |
| V2111 |
Spherocylinder, single vision, plus or minus 7.25 to plus or minus 12.00d sphere, .25 to 2.25d cylinder, per lens |
5,503 |
5,349 |
$99K |
| V2109 |
Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00d sphere, 4.25 to 6.00d cylinder, per lens |
5,080 |
4,978 |
$62K |
| V2112 |
Spherocylinder, single vision, plus or minus 7.25 to plus or minus 12.00d sphere, 2.25d to 4.00d cylinder, per lens |
3,072 |
2,986 |
$52K |
| V2715 |
Prism, per lens |
4,422 |
4,317 |
$35K |
| V2208 |
Spherocylinder, bifocal, plus or minus 4.25 to plus or minus 7.00d sphere, 2.12 to 4.00d cylinder, per lens |
1,085 |
1,081 |
$21K |
| V2205 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, 4.25 to 6.00d cylinder, per lens |
1,197 |
1,191 |
$19K |
| V2211 |
Spherocylinder, bifocal, plus or minus 7.25 to plus or minus 12.00d sphere, .25 to 2.25d cylinder, per lens |
536 |
534 |
$14K |
| V2102 |
Sphere, single vision, plus or minus 7.12 to plus or minus 20.00d, per lens |
847 |
839 |
$14K |
| V2201 |
Sphere, bifocal, plus or minus 4.12 to plus or minus 7.00d, per lens |
680 |
678 |
$13K |
| V2113 |
Spherocylinder, single vision, plus or minus 7.25 to plus or minus 12.00d sphere, 4.25 to 6.00d cylinder, per lens |
724 |
724 |
$12K |
| V2303 |
Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens |
145 |
144 |
$5K |
| V2209 |
Spherocylinder, bifocal, plus or minus 4.25 to plus or minus 7.00d sphere, 4.25 to 6.00d cylinder, per lens |
150 |
150 |
$3K |
| V2106 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, over 6.00d cylinder, per lens |
250 |
249 |
$3K |
| V2220 |
Bifocal add over 3.25d |
89 |
89 |
$2K |
| V2212 |
Spherocylinder, bifocal, plus or minus 7.25 to plus or minus 12.00d sphere, 2.25 to 4.00d cylinder, per lens |
59 |
58 |
$1K |
| V2755 |
U-v lens, per lens |
178 |
176 |
$1K |