| Code | Description | Claims | Beneficiaries | Total Paid |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
13,960 |
13,946 |
$424K |
| V2020 |
Frames, purchases |
22,719 |
22,668 |
$341K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
18,576 |
18,543 |
$279K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
8,228 |
8,220 |
$221K |
| 92015 |
Determination of refractive state |
26,293 |
26,259 |
$145K |
| 92341 |
|
1,249 |
1,243 |
$30K |
| 92250 |
|
98 |
98 |
$4K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
273 |
272 |
$2K |
| 2033F |
|
31 |
31 |
$0.00 |