| Code | Description | Claims | Beneficiaries | Total Paid |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
260,200 |
246,405 |
$6.11M |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
197,636 |
187,802 |
$2.33M |
| V2020 |
Frames, purchases |
305,552 |
289,556 |
$2.26M |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
47,814 |
45,083 |
$1.68M |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
42,103 |
39,882 |
$1.24M |
| 92341 |
|
11,702 |
11,148 |
$338K |
| V2715 |
Prism, per lens |
488 |
464 |
$78K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
1,212 |
940 |
$55K |
| V2300 |
Sphere, trifocal, plano to plus or minus 4.00d, per lens |
140 |
106 |
$30K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
33 |
32 |
$1K |
| BARDOPTI |
|
98 |
98 |
$0.00 |