| Code | Description | Claims | Beneficiaries | Total Paid |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
815 |
766 |
$69K |
| 92015 |
Determination of refractive state |
1,266 |
1,199 |
$55K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
246 |
240 |
$25K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,325 |
1,237 |
$23K |
| V2020 |
Frames, purchases |
407 |
373 |
$12K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
317 |
292 |
$10K |