| Code | Description | Claims | Beneficiaries | Total Paid |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
598 |
582 |
$32K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
836 |
797 |
$23K |
| V2020 |
Frames, purchases |
818 |
760 |
$12K |
| 92015 |
Determination of refractive state |
402 |
391 |
$11K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
130 |
120 |
$7K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
191 |
175 |
$4K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
180 |
167 |
$3K |