| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 92015 |
Determination of refractive state |
730 |
712 |
$37K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
197 |
190 |
$18K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
691 |
677 |
$12K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
101 |
98 |
$11K |
| V2020 |
Frames, purchases |
280 |
278 |
$10K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
130 |
128 |
$7K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
63 |
63 |
$2K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
104 |
102 |
$0.00 |