Most of the small ones are intended for use as polishing stones for mold makers and the like, or sharpeners for small tools The larger of the 'small' pieces can be used as a hone if you pay attention. The full size stones are tempting but not at eBay prices.
I know jewelry/watch repair guys that use the ruby matchsticks to do things. Eeeeh,
even if they were cost effective and readily available, don't the gems feel really dead under the razor as you go?