| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,436 |
3,367 |
$212K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
6,737 |
6,517 |
$197K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
3,262 |
3,086 |
$157K |
| 92015 |
Determination of refractive state |
4,605 |
4,490 |
$147K |
| V2020 |
Frames, purchases |
4,632 |
4,413 |
$69K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
2,879 |
2,741 |
$56K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
665 |
651 |
$43K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
1,096 |
1,051 |
$21K |
| 3072F |
|
34 |
34 |
$0.00 |