| Code | Description | Claims | Beneficiaries | Total Paid |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
771 |
765 |
$39K |
| V2020 |
Frames, purchases |
2,111 |
2,028 |
$33K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,656 |
1,607 |
$22K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
541 |
529 |
$10K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
410 |
396 |
$8K |
| 92002 |
|
179 |
166 |
$8K |
| 92015 |
Determination of refractive state |
1,209 |
1,162 |
$5K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
249 |
227 |
$5K |