| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
770 |
768 |
$73K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
1,540 |
1,507 |
$70K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
541 |
540 |
$58K |
| V2025 |
Deluxe frame |
669 |
658 |
$33K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
407 |
406 |
$30K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,837 |
1,806 |
$22K |
| V2020 |
Frames, purchases |
667 |
663 |
$18K |
| 92015 |
Determination of refractive state |
1,618 |
1,615 |
$6K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
12 |
12 |
$720.78 |