| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| V2020 |
Frames, purchases |
1,968 |
1,916 |
$22K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
1,541 |
1,505 |
$21K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,119 |
1,086 |
$21K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
957 |
935 |
$19K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
359 |
343 |
$8K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
662 |
656 |
$3K |