| Code | Description | Claims | Beneficiaries | Total Paid |
| 92015 |
Determination of refractive state |
2,590 |
2,496 |
$42K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
845 |
824 |
$29K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
568 |
563 |
$23K |
| V2020 |
Frames, purchases |
525 |
507 |
$12K |
| 92002 |
|
168 |
163 |
$7K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
118 |
115 |
$3K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
103 |
99 |
$388.05 |