| Code | Description | Claims | Bene. Records | Total Paid |
| 92015 |
Determination of refractive state |
154,974 |
149,879 |
$25.50 |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
97,791 |
94,472 |
$0.00 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
25,290 |
24,382 |
$0.00 |
| V2781 |
Progressive lens, per lens |
12 |
12 |
$0.00 |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
38,997 |
37,896 |
$0.00 |
| V2020 |
Frames, purchases |
25,061 |
24,218 |
$0.00 |