| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
351 |
326 |
$22K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
343 |
311 |
$16K |
| 92015 |
Determination of refractive state |
816 |
746 |
$16K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
314 |
171 |
$9K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
267 |
264 |
$8K |
| V2020 |
Frames, purchases |
242 |
235 |
$3K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
157 |
81 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15 |
12 |
$289.11 |
| 2023F |
|
16 |
16 |
$0.00 |