| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
87 |
66 |
$0.00 |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
68 |
67 |
$0.00 |
| V2020 |
Frames, purchases |
92 |
72 |
$0.00 |
| V2410 |
Variable asphericity lens, single vision, full field, glass or plastic, per lens |
91 |
68 |
$0.00 |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
91 |
68 |
$0.00 |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
56 |
56 |
$0.00 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
94 |
71 |
$0.00 |