| Code | Description | Claims | Beneficiaries | Total Paid |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
797 |
784 |
$46K |
| V2020 |
Frames, purchases |
1,281 |
1,222 |
$40K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
169 |
164 |
$10K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
1,176 |
1,115 |
$4K |
| 92015 |
Determination of refractive state |
1,205 |
1,178 |
$3K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,136 |
1,079 |
$3K |