| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
2,221 |
2,034 |
$107K |
| 92015 |
Determination of refractive state |
4,267 |
3,753 |
$94K |
| 92002 |
|
1,598 |
1,440 |
$71K |
| V2020 |
Frames, purchases |
998 |
928 |
$57K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
68 |
66 |
$4K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
81 |
78 |
$235.21 |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
37 |
29 |
$0.00 |