| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
458 |
375 |
$22K |
| 92015 |
Determination of refractive state |
1,012 |
894 |
$19K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
596 |
488 |
$18K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
178 |
157 |
$8K |
| V2020 |
Frames, purchases |
67 |
60 |
$2K |
| 92341 |
|
12 |
12 |
$385.68 |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
15 |
12 |
$210.00 |