| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
794 |
615 |
$46K |
| V2020 |
Frames, purchases |
1,311 |
1,041 |
$29K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
501 |
412 |
$10K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
545 |
356 |
$5K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
237 |
235 |
$3K |
| V2799 |
Vision item or service, miscellaneous |
251 |
245 |
$3K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
34 |
32 |
$3K |
| 92015 |
Determination of refractive state |
977 |
732 |
$0.00 |