| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Frames, purchases |
36 |
36 |
$2K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
13 |
13 |
$352.00 |
| 92015 |
Determination of refractive state |
64 |
63 |
$0.00 |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
30 |
29 |
$0.00 |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
51 |
50 |
$0.00 |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
32 |
32 |
$0.00 |