| Code | Description | Claims | Beneficiaries | Total Paid |
| 92015 |
Determination of refractive state |
4,931 |
4,551 |
$97K |
| 92060 |
|
3,302 |
2,998 |
$96K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
1,574 |
1,421 |
$83K |
| 92002 |
|
2,240 |
2,066 |
$64K |
| V2020 |
Frames, purchases |
1,293 |
1,227 |
$60K |
| 92083 |
|
997 |
906 |
$29K |
| 92225 |
|
1,611 |
1,426 |
$24K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
567 |
557 |
$17K |
| V2744 |
Tint, photochromatic, per lens |
63 |
63 |
$0.00 |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
278 |
277 |
$0.00 |