| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,156 |
1,122 |
$101K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
637 |
615 |
$69K |
| V2020 |
Frames, purchases |
1,171 |
1,123 |
$40K |
| 92015 |
Determination of refractive state |
1,753 |
1,697 |
$21K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
125 |
113 |
$7K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
81 |
79 |
$3K |