| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,706 |
1,702 |
$0.00 |
| V2020 |
Frames, purchases |
4,176 |
4,128 |
$0.00 |
| 92015 |
Determination of refractive state |
1,697 |
1,691 |
$0.00 |
| V2750 |
Anti-reflective coating, per lens |
220 |
109 |
$0.00 |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
6,069 |
3,001 |
$0.00 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
4,267 |
2,109 |
$0.00 |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,330 |
1,329 |
$0.00 |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
629 |
312 |
$0.00 |
| V2299 |
Specialty bifocal (by report) |
82 |
40 |
$0.00 |
| V2744 |
Tint, photochromatic, per lens |
542 |
269 |
$0.00 |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
138 |
68 |
$0.00 |
| 92002 |
|
14 |
14 |
$0.00 |
| V2781 |
Progressive lens, per lens |
106 |
52 |
$0.00 |