| 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 |
1,346,875 |
1,326,672 |
$17.56M |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
1,226,033 |
1,217,019 |
$9.05M |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
310,973 |
308,935 |
$6.75M |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
522,884 |
516,673 |
$6.04M |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
305,223 |
302,174 |
$3.39M |
| V2107 |
Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens |
134,724 |
133,661 |
$1.77M |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
80,739 |
80,188 |
$1.47M |
| V2105 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 4.25 to 6.00d cylinder, per lens |
67,103 |
66,560 |
$718K |
| V2108 |
Spherocylinder, single vision, plus or minus 4.25d to plus or minus 7.00d sphere, 2.12 to 4.00d cylinder, per lens |
44,360 |
44,050 |
$521K |
| V2204 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
29,853 |
29,693 |
$500K |
| V2101 |
Sphere, single vision, plus or minus 4.12 to plus or minus 7.00d, per lens |
30,747 |
30,523 |
$362K |
| V2111 |
Spherocylinder, single vision, plus or minus 7.25 to plus or minus 12.00d sphere, .25 to 2.25d cylinder, per lens |
16,448 |
16,322 |
$280K |
| V2207 |
Spherocylinder, bifocal, plus or minus 4.25 to plus or minus 7.00d sphere,.12 to 2.00d cylinder, per lens |
12,608 |
12,529 |
$268K |
| V2109 |
Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00d sphere, 4.25 to 6.00d cylinder, per lens |
13,715 |
13,613 |
$159K |
| V2112 |
Spherocylinder, single vision, plus or minus 7.25 to plus or minus 12.00d sphere, 2.25d to 4.00d cylinder, per lens |
8,776 |
8,709 |
$139K |
| V2744 |
Tint, photochromatic, per lens |
4,239 |
4,220 |
$134K |
| V2715 |
Prism, per lens |
13,315 |
13,084 |
$98K |
| V2208 |
Spherocylinder, bifocal, plus or minus 4.25 to plus or minus 7.00d sphere, 2.12 to 4.00d cylinder, per lens |
3,003 |
2,990 |
$56K |
| V2205 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, 4.25 to 6.00d cylinder, per lens |
3,242 |
3,217 |
$52K |
| V2102 |
Sphere, single vision, plus or minus 7.12 to plus or minus 20.00d, per lens |
3,110 |
3,081 |
$49K |
| V2211 |
Spherocylinder, bifocal, plus or minus 7.25 to plus or minus 12.00d sphere, .25 to 2.25d cylinder, per lens |
1,820 |
1,805 |
$49K |
| V2201 |
Sphere, bifocal, plus or minus 4.12 to plus or minus 7.00d, per lens |
2,156 |
2,143 |
$41K |
| V2113 |
Spherocylinder, single vision, plus or minus 7.25 to plus or minus 12.00d sphere, 4.25 to 6.00d cylinder, per lens |
2,265 |
2,252 |
$35K |
| V2303 |
Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens |
956 |
952 |
$32K |
| V2755 |
U-v lens, per lens |
2,438 |
2,379 |
$16K |
| V2220 |
Bifocal add over 3.25d |
787 |
782 |
$15K |
| V2745 |
Addition to lens; tint, any color, solid, gradient or equal, excludes photochromatic, any lens material, per lens |
1,779 |
1,750 |
$11K |
| V2106 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, over 6.00d cylinder, per lens |
1,137 |
1,125 |
$11K |
| V2209 |
Spherocylinder, bifocal, plus or minus 4.25 to plus or minus 7.00d sphere, 4.25 to 6.00d cylinder, per lens |
367 |
364 |
$6K |
| V2212 |
Spherocylinder, bifocal, plus or minus 7.25 to plus or minus 12.00d sphere, 2.25 to 4.00d cylinder, per lens |
231 |
230 |
$6K |
| V2121 |
Lenticular lens, per lens, single |
14 |
14 |
$741.16 |
| V2110 |
Spherocylinder, single vision, plus or minus 4.25 to 7.00d sphere, over 6.00d cylinder, per lens |
50 |
50 |
$531.84 |