| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| V2020 |
Frames, purchases |
3,295 |
3,199 |
$105K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
1,993 |
1,940 |
$64K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,007 |
988 |
$43K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
784 |
761 |
$33K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,064 |
1,029 |
$19K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
296 |
278 |
$19K |
| 92015 |
Determination of refractive state |
765 |
734 |
$14K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
513 |
506 |
$8K |
| 92250 |
|
109 |
99 |
$7K |
| 92060 |
|
120 |
105 |
$6K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
801 |
769 |
$4K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
65 |
65 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
25 |
25 |
$3K |
| V2025 |
Deluxe frame |
40 |
40 |
$2K |
| 92081 |
|
44 |
43 |
$1K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
32 |
32 |
$370.00 |