| Code | Description | Claims | Beneficiaries | Total Paid |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,034 |
964 |
$27K |
| 92015 |
Determination of refractive state |
726 |
697 |
$17K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
885 |
850 |
$17K |
| V2020 |
Frames, purchases |
1,177 |
1,082 |
$16K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
410 |
398 |
$15K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
181 |
153 |
$8K |
| 92002 |
|
72 |
71 |
$4K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
62 |
52 |
$3K |