| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,756 |
1,322 |
$86K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
816 |
614 |
$50K |
| V2020 |
Frames, purchases |
2,402 |
1,828 |
$26K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
1,434 |
1,214 |
$21K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,029 |
1,552 |
$17K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
281 |
222 |
$11K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
467 |
266 |
$5K |
| 92341 |
|
280 |
222 |
$2K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
37 |
29 |
$478.30 |
| 92250 |
|
16 |
16 |
$391.08 |
| 92134 |
|
21 |
13 |
$158.55 |
| 92015 |
Determination of refractive state |
2,604 |
1,945 |
$0.00 |