| Code | Description | Claims | Beneficiaries | Total Paid |
| V2410 |
Variable asphericity lens, single vision, full field, glass or plastic, per lens |
19,688 |
17,924 |
$3.03M |
| V2020 |
Frames, purchases |
17,313 |
15,868 |
$705K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
20,429 |
18,554 |
$628K |
| V2750 |
Anti-reflective coating, per lens |
20,440 |
18,565 |
$543K |
| 92340 |
|
21,215 |
18,807 |
$401K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
8,417 |
7,845 |
$353K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
3,104 |
2,780 |
$154K |
| V2025 |
Deluxe frame |
1,217 |
1,107 |
$107K |
| V2755 |
U-v lens, per lens |
1,314 |
975 |
$36K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
604 |
569 |
$26K |
| V2107 |
Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens |
149 |
127 |
$8K |
| V2105 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 4.25 to 6.00d cylinder, per lens |
79 |
58 |
$4K |
| V2430 |
Variable asphericity lens, bifocal, full field, glass or plastic, per lens |
13 |
13 |
$3K |
| V2108 |
Spherocylinder, single vision, plus or minus 4.25d to plus or minus 7.00d sphere, 2.12 to 4.00d cylinder, per lens |
22 |
15 |
$2K |
| S1001 |
Deluxe item, patient aware (list in addition to code for basic item) |
257 |
247 |
$0.00 |