| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,923 |
2,670 |
$128K |
| 92015 |
Determination of refractive state |
3,298 |
3,023 |
$56K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
862 |
789 |
$54K |
| 92250 |
|
675 |
606 |
$16K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
410 |
375 |
$14K |
| V2020 |
Frames, purchases |
1,057 |
974 |
$14K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
778 |
511 |
$9K |