Imagine you're Coca-Cola. You have an on-line ad budget for this quarter. Where should you spend it? Probably the places that have the most reach: Google and Facebook. Do you know how many cans of Coke or other drink brands you will sell based on these ads this quarter? No. Is there any way for you to figure it out? No. All you know are the numbers Facebook tells you. And those numbers look pretty good. This is how "sophisticated" ad buyers work.
It's actually far easier for a tiny business to measure the conversation rate between clicks and actual purchases. Big ad buyers throw stuff at the wall to see what sticks, and they rarely bother truly measuring because that's often impossible.
The entire ad industry is based on fuzzy metrics. Within that fuzz is an awful lot of room for fraud.