| Code | Description | Claims | Beneficiaries | Total Paid |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
839 |
824 |
$51K |
| V2020 |
Frames, purchases |
1,238 |
1,187 |
$38K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
404 |
395 |
$25K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
137 |
136 |
$5K |
| 92015 |
Determination of refractive state |
1,322 |
1,296 |
$2K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
955 |
907 |
$1K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
940 |
896 |
$1K |
| 92341 |
|
20 |
20 |
$0.00 |