| Code | Description | Claims | Beneficiaries | Total Paid |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
7,928 |
7,583 |
$764K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
6,217 |
5,942 |
$749K |
| V2020 |
Frames, purchases |
16,514 |
15,241 |
$682K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
7,401 |
6,834 |
$366K |
| 92015 |
Determination of refractive state |
17,265 |
16,407 |
$267K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
3,101 |
2,886 |
$154K |
| V2410 |
Variable asphericity lens, single vision, full field, glass or plastic, per lens |
892 |
781 |
$133K |
| 92002 |
|
1,794 |
1,649 |
$103K |
| V2755 |
U-v lens, per lens |
3,356 |
3,062 |
$87K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
1,079 |
965 |
$83K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
1,132 |
1,082 |
$51K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
578 |
433 |
$25K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
211 |
196 |
$15K |
| V2107 |
Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens |
110 |
101 |
$6K |
| 92310 |
|
75 |
70 |
$903.00 |
| V2750 |
Anti-reflective coating, per lens |
15 |
14 |
$70.00 |