| Code | Description | Claims | Beneficiaries | Total Paid |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,214 |
1,095 |
$40K |
| 92341 |
|
894 |
802 |
$19K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
653 |
619 |
$10K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
354 |
323 |
$8K |
| V2020 |
Frames, purchases |
216 |
200 |
$0.00 |
| 92015 |
Determination of refractive state |
245 |
211 |
$0.00 |
| V2025 |
Deluxe frame |
176 |
170 |
$0.00 |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
76 |
74 |
$0.00 |