| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,712 |
3,563 |
$271K |
| V2020 |
Frames, purchases |
5,441 |
5,214 |
$166K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,700 |
1,647 |
$124K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
3,281 |
2,743 |
$122K |
| 92015 |
Determination of refractive state |
5,611 |
5,384 |
$79K |
| V2755 |
U-v lens, per lens |
4,321 |
3,475 |
$74K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
622 |
570 |
$15K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
106 |
80 |
$6K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
142 |
138 |
$5K |