| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
1,422 |
1,377 |
$81K |
| V2020 |
Frames, purchases |
1,455 |
1,414 |
$49K |
| 92015 |
Determination of refractive state |
1,641 |
1,605 |
$37K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
671 |
656 |
$32K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
487 |
478 |
$16K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
284 |
271 |
$15K |