| Code | Description | Claims | Beneficiaries | Total Paid |
| V2020 |
Frames, purchases |
71,376 |
65,909 |
$516K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
38,781 |
35,655 |
$354K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
11,181 |
10,589 |
$150K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
16,847 |
15,386 |
$137K |
| V2107 |
Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens |
5,488 |
5,060 |
$45K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
5,718 |
5,211 |
$44K |
| V2025 |
Deluxe frame |
1,030 |
678 |
$32K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
2,745 |
2,612 |
$28K |
| V2715 |
Prism, per lens |
781 |
448 |
$17K |
| V2204 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
1,326 |
1,250 |
$13K |
| V2303 |
Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens |
649 |
618 |
$13K |
| V2207 |
Spherocylinder, bifocal, plus or minus 4.25 to plus or minus 7.00d sphere,.12 to 2.00d cylinder, per lens |
941 |
889 |
$11K |
| V2101 |
Sphere, single vision, plus or minus 4.12 to plus or minus 7.00d, per lens |
1,421 |
1,297 |
$10K |
| V2108 |
Spherocylinder, single vision, plus or minus 4.25d to plus or minus 7.00d sphere, 2.12 to 4.00d cylinder, per lens |
1,265 |
1,159 |
$9K |
| V2111 |
Spherocylinder, single vision, plus or minus 7.25 to plus or minus 12.00d sphere, .25 to 2.25d cylinder, per lens |
869 |
799 |
$7K |
| V2105 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 4.25 to 6.00d cylinder, per lens |
933 |
828 |
$7K |
| V2112 |
Spherocylinder, single vision, plus or minus 7.25 to plus or minus 12.00d sphere, 2.25d to 4.00d cylinder, per lens |
205 |
180 |
$1K |
| V2109 |
Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00d sphere, 4.25 to 6.00d cylinder, per lens |
145 |
131 |
$1K |
| V2201 |
Sphere, bifocal, plus or minus 4.12 to plus or minus 7.00d, per lens |
50 |
48 |
$453.03 |
| V2102 |
Sphere, single vision, plus or minus 7.12 to plus or minus 20.00d, per lens |
44 |
42 |
$350.88 |
| V2208 |
Spherocylinder, bifocal, plus or minus 4.25 to plus or minus 7.00d sphere, 2.12 to 4.00d cylinder, per lens |
30 |
29 |
$277.78 |
| V2300 |
Sphere, trifocal, plano to plus or minus 4.00d, per lens |
12 |
12 |
$192.27 |
| V2205 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, 4.25 to 6.00d cylinder, per lens |
13 |
12 |
$114.38 |