| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
280 |
257 |
$24K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
251 |
208 |
$24K |
| V2020 |
Frames, purchases |
453 |
370 |
$8K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
194 |
149 |
$304.00 |
| 92015 |
Determination of refractive state |
301 |
248 |
$244.54 |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
249 |
193 |
$232.18 |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
27 |
27 |
$0.00 |