| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,605 |
1,535 |
$53K |
| V2020 |
Frames, purchases |
852 |
836 |
$12K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
406 |
400 |
$8K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
75 |
69 |
$3K |
| 92015 |
Determination of refractive state |
187 |
186 |
$2K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
117 |
98 |
$2K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
17 |
17 |
$137.00 |