| Code | Description | Claims | Beneficiaries | Total Paid |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
43,474 |
42,453 |
$1.21M |
| V2020 |
Frames, purchases |
34,729 |
33,945 |
$1.15M |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
37,880 |
37,173 |
$805K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
11,345 |
10,831 |
$775K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
9,054 |
8,782 |
$769K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
22,069 |
21,618 |
$583K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
8,286 |
8,071 |
$381K |
| 92341 |
|
13,982 |
13,685 |
$371K |
| V2025 |
Deluxe frame |
9,068 |
9,030 |
$366K |
| 92015 |
Determination of refractive state |
23,066 |
22,387 |
$258K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
5,635 |
5,561 |
$129K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
4,180 |
4,111 |
$88K |
| V2107 |
Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens |
2,364 |
2,321 |
$61K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
1,149 |
1,136 |
$34K |
| V2105 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 4.25 to 6.00d cylinder, per lens |
1,039 |
1,033 |
$28K |
| 92250 |
|
648 |
613 |
$19K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
307 |
289 |
$19K |
| 92002 |
|
275 |
254 |
$15K |
| V2108 |
Spherocylinder, single vision, plus or minus 4.25d to plus or minus 7.00d sphere, 2.12 to 4.00d cylinder, per lens |
293 |
292 |
$9K |
| 92342 |
|
152 |
152 |
$5K |
| V2204 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
39 |
39 |
$2K |