| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 92015 |
Determination of refractive state |
4,719 |
4,661 |
$205K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,971 |
2,952 |
$204K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,746 |
1,710 |
$156K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
4,940 |
4,824 |
$147K |
| V2020 |
Frames, purchases |
2,446 |
2,386 |
$40K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
2,026 |
1,342 |
$25K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
294 |
195 |
$3K |