| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Frames, purchases |
648 |
648 |
$287.70 |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
639 |
622 |
$213.29 |
| 92015 |
Determination of refractive state |
748 |
748 |
$50.47 |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
270 |
270 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12 |
12 |
$0.00 |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
313 |
313 |
$0.00 |