| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
35,773 |
34,043 |
$461K |
| V2020 |
Frames, purchases |
36,472 |
34,650 |
$388K |
| V2410 |
Variable asphericity lens, single vision, full field, glass or plastic, per lens |
3,414 |
3,308 |
$327K |
| V2499 |
Variable sphericity lens, other type |
4,533 |
4,304 |
$299K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
19,301 |
18,437 |
$239K |
| V2715 |
Prism, per lens |
11,940 |
11,423 |
$157K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
7,376 |
7,041 |
$104K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
3,772 |
3,576 |
$79K |
| V2755 |
U-v lens, per lens |
9,367 |
8,826 |
$35K |
| V2750 |
Anti-reflective coating, per lens |
416 |
409 |
$28K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
630 |
595 |
$17K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
557 |
523 |
$9K |
| V2745 |
Addition to lens; tint, any color, solid, gradient or equal, excludes photochromatic, any lens material, per lens |
2,856 |
2,716 |
$7K |
| V2115 |
Lenticular, (myodisc), per lens, single vision |
69 |
66 |
$6K |