| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
585 |
445 |
$6K |
| V2020 |
Frames, purchases |
636 |
507 |
$5K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
525 |
399 |
$5K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
173 |
139 |
$2K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
390 |
315 |
$1K |
| 92015 |
Determination of refractive state |
561 |
448 |
$57.06 |
| V2750 |
Anti-reflective coating, per lens |
25 |
25 |
$0.00 |