| Code | Description | Claims | Beneficiaries | Total Paid |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,800 |
3,458 |
$168K |
| 92015 |
Determination of refractive state |
6,022 |
5,557 |
$105K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,954 |
2,643 |
$87K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,790 |
1,631 |
$84K |
| V2020 |
Frames, purchases |
421 |
387 |
$10K |
| 92341 |
|
82 |
82 |
$2K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
150 |
137 |
$2K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
278 |
249 |
$1K |