| Code | Description | Claims | Beneficiaries | Total Paid |
| V2020 |
Frames, purchases |
21,739 |
21,606 |
$433K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
15,959 |
15,850 |
$326K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
8,551 |
8,456 |
$310K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
7,293 |
7,259 |
$273K |
| 92015 |
Determination of refractive state |
20,783 |
20,631 |
$158K |
| 92341 |
|
4,443 |
4,432 |
$127K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
3,674 |
3,663 |
$98K |
| 92002 |
|
194 |
194 |
$6K |