| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
38 |
37 |
$2K |
| V2020 |
Frames, purchases |
79 |
76 |
$1K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
53 |
50 |
$877.00 |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
12 |
12 |
$762.48 |
| 92015 |
Determination of refractive state |
29 |
29 |
$722.50 |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
14 |
14 |
$541.03 |