| Code | Description | Claims | Beneficiaries | Total Paid |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
2,674 |
2,370 |
$122K |
| 92015 |
Determination of refractive state |
4,786 |
4,242 |
$102K |
| 92002 |
|
1,749 |
1,519 |
$58K |
| V2020 |
Frames, purchases |
1,044 |
994 |
$31K |
| V2199 |
Not otherwise classified, single vision lens |
222 |
189 |
$9K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
87 |
84 |
$150.00 |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
88 |
87 |
$0.00 |