| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
646 |
573 |
$21K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
384 |
338 |
$16K |
| 92015 |
Determination of refractive state |
917 |
838 |
$15K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
404 |
397 |
$8K |
| V2020 |
Frames, purchases |
108 |
103 |
$0.00 |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
13 |
13 |
$0.00 |