| Code | Description | Claims | Beneficiaries | Total Paid |
| V2020 |
Frames, purchases |
645,581 |
623,186 |
$7.04M |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
552,358 |
395,900 |
$4.39M |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
330,898 |
248,897 |
$2.50M |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
300,922 |
264,087 |
$2.19M |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
90,455 |
69,330 |
$950K |
| V2783 |
Lens, index greater than or equal to 1.66 plastic or greater than or equal to 1.80 glass, excludes polycarbonate, per lens |
3,360 |
3,300 |
$386K |
| S0580 |
Polycarbonate lens (list this code in addition to the basic code for the lens) |
23,227 |
22,871 |
$371K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
34,799 |
29,825 |
$301K |
| V2105 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 4.25 to 6.00d cylinder, per lens |
41,105 |
30,178 |
$297K |
| V2799 |
Vision item or service, miscellaneous |
2,754 |
2,589 |
$212K |
| V2410 |
Variable asphericity lens, single vision, full field, glass or plastic, per lens |
3,232 |
3,181 |
$191K |
| V2782 |
Lens, index 1.54 to 1.65 plastic or 1.60 to 1.79 glass, excludes polycarbonate, per lens |
3,993 |
3,925 |
$183K |
| V2760 |
Scratch resistant coating, per lens |
15,783 |
15,576 |
$153K |
| V2111 |
Spherocylinder, single vision, plus or minus 7.25 to plus or minus 12.00d sphere, .25 to 2.25d cylinder, per lens |
27,450 |
20,345 |
$152K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
19,092 |
17,098 |
$131K |
| V2107 |
Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens |
15,936 |
14,707 |
$123K |
| V2113 |
Spherocylinder, single vision, plus or minus 7.25 to plus or minus 12.00d sphere, 4.25 to 6.00d cylinder, per lens |
9,090 |
6,808 |
$97K |
| V2756 |
Eye glass case |
175,048 |
171,821 |
$86K |
| V2101 |
Sphere, single vision, plus or minus 4.12 to plus or minus 7.00d, per lens |
11,343 |
9,344 |
$76K |
| V2205 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, 4.25 to 6.00d cylinder, per lens |
7,572 |
5,793 |
$59K |
| V2204 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
2,845 |
2,760 |
$33K |
| V2207 |
Spherocylinder, bifocal, plus or minus 4.25 to plus or minus 7.00d sphere,.12 to 2.00d cylinder, per lens |
2,212 |
2,129 |
$30K |
| V2745 |
Addition to lens; tint, any color, solid, gradient or equal, excludes photochromatic, any lens material, per lens |
3,267 |
3,228 |
$28K |
| V2108 |
Spherocylinder, single vision, plus or minus 4.25d to plus or minus 7.00d sphere, 2.12 to 4.00d cylinder, per lens |
3,975 |
3,626 |
$26K |
| V2303 |
Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens |
901 |
878 |
$20K |
| V2715 |
Prism, per lens |
3,652 |
3,596 |
$18K |
| V2114 |
Spherocylinder, single vision, sphere over plus or minus 12.00d, per lens |
1,085 |
860 |
$13K |
| V2102 |
Sphere, single vision, plus or minus 7.12 to plus or minus 20.00d, per lens |
1,706 |
1,404 |
$13K |
| V2112 |
Spherocylinder, single vision, plus or minus 7.25 to plus or minus 12.00d sphere, 2.25d to 4.00d cylinder, per lens |
1,049 |
980 |
$12K |
| V2730 |
Special base curve, glass or plastic, per lens |
764 |
744 |
$11K |
| V2744 |
Tint, photochromatic, per lens |
1,012 |
912 |
$10K |
| V2109 |
Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00d sphere, 4.25 to 6.00d cylinder, per lens |
911 |
844 |
$9K |
| V2201 |
Sphere, bifocal, plus or minus 4.12 to plus or minus 7.00d, per lens |
977 |
878 |
$8K |
| V2211 |
Spherocylinder, bifocal, plus or minus 7.25 to plus or minus 12.00d sphere, .25 to 2.25d cylinder, per lens |
453 |
428 |
$8K |
| V2430 |
Variable asphericity lens, bifocal, full field, glass or plastic, per lens |
77 |
77 |
$6K |
| V2300 |
Sphere, trifocal, plano to plus or minus 4.00d, per lens |
365 |
277 |
$6K |
| V2208 |
Spherocylinder, bifocal, plus or minus 4.25 to plus or minus 7.00d sphere, 2.12 to 4.00d cylinder, per lens |
502 |
483 |
$6K |
| V2219 |
Bifocal seg width over 28 mm |
217 |
212 |
$4K |
| V2106 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, over 6.00d cylinder, per lens |
512 |
434 |
$4K |
| V2220 |
Bifocal add over 3.25d |
488 |
477 |
$3K |
| V2215 |
Lenticular (myodisc), per lens, bifocal |
32 |
28 |
$2K |
| V2202 |
Sphere, bifocal, plus or minus 7.12 to plus or minus 20.00d, per lens |
79 |
63 |
$961.65 |
| V2212 |
Spherocylinder, bifocal, plus or minus 7.25 to plus or minus 12.00d sphere, 2.25 to 4.00d cylinder, per lens |
31 |
29 |
$457.65 |
| V2199 |
Not otherwise classified, single vision lens |
39 |
39 |
$255.00 |
| V2700 |
Balance lens, per lens |
302 |
299 |
$162.00 |
| V2299 |
Specialty bifocal (by report) |
12 |
12 |
$160.00 |
| V2750 |
Anti-reflective coating, per lens |
14 |
14 |
$16.00 |