| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,201 |
1,996 |
$154K |
| 92015 |
Determination of refractive state |
3,364 |
3,046 |
$78K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
924 |
874 |
$44K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,318 |
1,165 |
$28K |
| V2020 |
Frames, purchases |
539 |
451 |
$15K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
501 |
415 |
$15K |
| 92002 |
|
151 |
73 |
$5K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
37 |
13 |
$949.39 |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
16 |
12 |
$341.88 |