| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| V2020 |
Frames, purchases |
8,345 |
7,114 |
$119K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
6,433 |
5,478 |
$108K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,645 |
2,227 |
$58K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,260 |
1,979 |
$49K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,130 |
1,099 |
$31K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
3,003 |
2,446 |
$31K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
1,150 |
978 |
$29K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
328 |
326 |
$16K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
297 |
291 |
$15K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
263 |
231 |
$6K |
| 92341 |
|
12 |
12 |
$380.52 |