| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,438 |
1,338 |
$102K |
| V2020 |
Frames, purchases |
3,021 |
2,716 |
$56K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
552 |
511 |
$48K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
1,494 |
1,447 |
$41K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
2,152 |
2,014 |
$25K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
1,156 |
994 |
$24K |
| 92015 |
Determination of refractive state |
360 |
348 |
$12K |
| V2799 |
Vision item or service, miscellaneous |
303 |
303 |
$3K |
| V2025 |
Deluxe frame |
23 |
23 |
$2K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
116 |
104 |
$1K |
| V2107 |
Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens |
17 |
17 |
$345.75 |