| Code | Description | Claims | Beneficiaries | Total Paid |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,125 |
1,023 |
$90K |
| 92015 |
Determination of refractive state |
1,520 |
1,386 |
$54K |
| V2020 |
Frames, purchases |
1,139 |
1,088 |
$38K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
475 |
468 |
$33K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
913 |
872 |
$32K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
790 |
766 |
$9K |