| Code | Description | Claims | Beneficiaries | Total Paid |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,609 |
1,523 |
$40K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
356 |
320 |
$19K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
1,289 |
1,239 |
$17K |
| V2020 |
Frames, purchases |
1,903 |
1,822 |
$15K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
908 |
869 |
$8K |
| V2783 |
Lens, index greater than or equal to 1.66 plastic or greater than or equal to 1.80 glass, excludes polycarbonate, per lens |
81 |
80 |
$7K |