| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2745 |
Addition to lens; tint, any color, solid, gradient or equal, excludes photochromatic, any lens material, per lens |
3,359 |
2,905 |
$232K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
5,649 |
4,892 |
$95K |
| V2499 |
Variable sphericity lens, other type |
1,189 |
992 |
$87K |
| V2020 |
Frames, purchases |
5,557 |
4,818 |
$83K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
5,038 |
4,368 |
$70K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
2,540 |
2,254 |
$39K |
| V2750 |
Anti-reflective coating, per lens |
166 |
131 |
$15K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
416 |
375 |
$7K |
| V2755 |
U-v lens, per lens |
536 |
448 |
$2K |
| V2299 |
Specialty bifocal (by report) |
14 |
13 |
$1K |
| V2199 |
Not otherwise classified, single vision lens |
13 |
12 |
$910.00 |
| V2715 |
Prism, per lens |
17 |
12 |
$290.00 |