| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
1,272 |
979 |
$56K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
1,372 |
1,366 |
$54K |
| V2020 |
Frames, purchases |
1,141 |
1,119 |
$27K |
| 92002 |
|
446 |
440 |
$17K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
33 |
27 |
$2K |
| V2025 |
Deluxe frame |
152 |
148 |
$2K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
12 |
12 |
$480.00 |