| Code | Description | Claims | Beneficiaries | Total Paid |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,133 |
1,015 |
$71K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
537 |
460 |
$25K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
1,730 |
1,545 |
$24K |
| V2020 |
Frames, purchases |
1,769 |
1,574 |
$23K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,495 |
1,345 |
$22K |
| 92015 |
Determination of refractive state |
1,606 |
1,437 |
$12K |