| V2745 | Addition to lens; tint, any color, solid, gradient or equal, excludes photochromatic, any lens material, per lens | 9 | 10 | 2,530 | $40 | $97.7K |
| V2750 | Anti-reflective coating, per lens | 31 | 70 | 470 | $80 | $92.1K |
| 92014 | An ophthalmologist sees an established patient for a comprehensive level eye examination. Generally, a patient is considered to be "established" if the same physician, or any physician in the group… | 47 | 330 | 720 | $50 | $85.5K |
| 92004 | The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits. | 14 | 320 | 400 | $70 | $70.3K |
| V2410 | Variable asphericity lens, single vision, full field, glass or plastic, per lens | 21 | 30 | 380 | $60 | $47.8K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 45 | 140 | 1,130 | $10 | $47.6K |
| V2020 | Frames, purchases | 29 | 200 | 870 | $10 | $41.3K |
| 92340 | Code 92340 describes the fitting of eyeglasses, except for aphakia (absence of the crystalline lens as after cataract surgery); monofocal | 16 | 320 | 1,310 | $20 | $38.9K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 42 | 130 | 790 | $10 | $28.6K |
| 92015 | The provider determines the process of determining if a patient's vision is less than 20/20 and by what amount so that corrective lenses or contact lenses can be prescribed and produced. | 25 | 380 | 1,370 | $10 | $20.2K |