| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 92015 |
Determination of refractive state |
1,107 |
1,071 |
$16K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
444 |
429 |
$15K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
207 |
198 |
$7K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
50 |
50 |
$1K |
| V2020 |
Frames, purchases |
83 |
80 |
$100.00 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
12 |
12 |
$0.00 |