| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,363 |
1,361 |
$135K |
| V2020 |
Frames, purchases |
1,689 |
1,683 |
$104K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
1,479 |
1,474 |
$100K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
1,486 |
1,482 |
$85K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,590 |
1,586 |
$40K |
| 92015 |
Determination of refractive state |
1,909 |
1,904 |
$30K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
85 |
82 |
$10K |