| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92012 |
|
3,133 |
2,734 |
$123K |
| 92340 |
|
2,582 |
2,220 |
$65K |
| V2020 |
Frames, purchases |
3,003 |
2,480 |
$63K |
| 92002 |
|
888 |
769 |
$37K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
1,359 |
1,109 |
$20K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
1,854 |
1,538 |
$12K |
| 92015 |
|
701 |
566 |
$8K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
634 |
483 |
$7K |
| V2760 |
Scratch resistant coating, per lens |
1,344 |
1,191 |
$3K |