| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Vision svcs frames purchases |
54,355 |
50,048 |
$1.91M |
| V2100 |
Lens spher single plano 4.00 |
49,361 |
45,411 |
$1.47M |
| 92014 |
|
31,439 |
28,910 |
$1.09M |
| 92004 |
|
30,602 |
28,136 |
$1.03M |
| V2200 |
Lens spher bifoc plano 4.00d |
6,358 |
5,852 |
$307K |
| V2300 |
Lens sphere trifocal 4.00d |
26 |
26 |
$2K |
| 92002 |
|
605 |
519 |
$665.95 |
| 92015 |
|
9,040 |
8,987 |
$338.09 |
| 92012 |
|
503 |
441 |
$178.14 |
| 92310 |
|
37 |
36 |
$122.27 |
| V2025 |
Eyeglasses delux frames |
285 |
251 |
$43.31 |
| V2760 |
Scratch resistant coating |
806 |
802 |
$15.75 |
| V2750 |
Anti-reflective coating |
3,309 |
3,206 |
$0.00 |
| V2745 |
Tint, any color/solid/grad |
799 |
758 |
$0.00 |
| S0518 |
Sunglass frames |
802 |
692 |
$0.00 |
| 92081 |
|
32 |
32 |
$0.00 |
| V2762 |
Polarization, any lens |
53 |
47 |
$0.00 |
| V2797 |
Vis item/svc in other code |
102 |
101 |
$0.00 |
| V2410 |
Lens variab asphericity sing |
517 |
489 |
$0.00 |
| V2499 |
Variable asphericity lens |
69 |
67 |
$0.00 |
| 99199 |
|
195 |
195 |
$0.00 |
| V2783 |
Lens, >= 1.66 p/>=1.80 g |
130 |
129 |
$0.00 |
| V2744 |
Tint photochromatic lens/es |
568 |
559 |
$0.00 |
| V2781 |
Progressive lens per lens |
152 |
152 |
$0.00 |
| V2784 |
Lens polycarb or equal |
6,297 |
6,178 |
$0.00 |
| V2702 |
Deluxe lens feature |
59 |
58 |
$0.00 |
| V2755 |
Uv lens/es |
1,051 |
1,038 |
$0.00 |
| 92250 |
|
64 |
64 |
$0.00 |
| V2799 |
Misc vision item or service |
622 |
617 |
$0.00 |
| V2782 |
Lens, 1.54-1.65 p/1.60-1.79g |
25 |
25 |
$0.00 |