| Code | Description | Claims | Beneficiaries | Total Paid |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,580 |
1,558 |
$105K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,101 |
1,064 |
$90K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,044 |
2,001 |
$35K |
| 92015 |
Determination of refractive state |
2,920 |
2,857 |
$25K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
762 |
739 |
$12K |
| V2020 |
Frames, purchases |
767 |
747 |
$8K |