| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Frames, purchases |
74,211 |
73,157 |
$928K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
46,330 |
45,479 |
$912K |
| V2744 |
Tint, photochromatic, per lens |
12,404 |
12,182 |
$541K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
34,580 |
34,148 |
$509K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
20,909 |
20,550 |
$425K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
19,321 |
19,028 |
$346K |
| V2760 |
Scratch resistant coating, per lens |
32,512 |
31,896 |
$314K |
| V2755 |
U-v lens, per lens |
28,907 |
28,528 |
$259K |
| 92341 |
|
13,693 |
13,318 |
$236K |
| S0580 |
Polycarbonate lens (list this code in addition to the basic code for the lens) |
11,941 |
11,885 |
$215K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
6,262 |
6,182 |
$93K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
3,133 |
3,096 |
$51K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
2,225 |
2,192 |
$48K |
| V2107 |
Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens |
2,957 |
2,917 |
$47K |
| V2783 |
Lens, index greater than or equal to 1.66 plastic or greater than or equal to 1.80 glass, excludes polycarbonate, per lens |
544 |
537 |
$39K |
| V2204 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
709 |
689 |
$15K |
| V2207 |
Spherocylinder, bifocal, plus or minus 4.25 to plus or minus 7.00d sphere,.12 to 2.00d cylinder, per lens |
574 |
558 |
$12K |
| 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 |
522 |
$8K |
| V2520 |
Contact lens, hydrophilic, spherical, per lens |
107 |
104 |
$7K |
| V2111 |
Spherocylinder, single vision, plus or minus 7.25 to plus or minus 12.00d sphere, .25 to 2.25d cylinder, per lens |
299 |
297 |
$5K |
| V2105 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 4.25 to 6.00d cylinder, per lens |
260 |
256 |
$4K |
| V2599 |
Contact lens, other type |
16 |
12 |
$1K |
| V2303 |
Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens |
42 |
42 |
$1K |
| V2521 |
Contact lens, hydrophilic, toric, or prism ballast, per lens |
25 |
25 |
$708.50 |
| V2781 |
Progressive lens, per lens |
14 |
14 |
$0.00 |
| V2750 |
Anti-reflective coating, per lens |
29 |
29 |
$0.00 |