| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
28 |
28 |
$0.00 |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
237 |
237 |
$0.00 |
| V2020 |
Frames, purchases |
185 |
185 |
$0.00 |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
253 |
253 |
$0.00 |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
194 |
194 |
$0.00 |
| 92015 |
Determination of refractive state |
490 |
490 |
$0.00 |