| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
416 |
398 |
$29K |
| 92065 |
|
860 |
337 |
$23K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
204 |
202 |
$19K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
861 |
337 |
$19K |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
853 |
334 |
$18K |
| V2020 |
Frames, purchases |
367 |
348 |
$9K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
267 |
259 |
$9K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
327 |
309 |
$8K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
352 |
334 |
$4K |
| 96111 |
|
91 |
82 |
$4K |
| 92060 |
|
108 |
98 |
$4K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
77 |
68 |
$3K |
| 96112 |
|
16 |
15 |
$650.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
13 |
12 |
$355.83 |
| 92015 |
Determination of refractive state |
658 |
626 |
$131.10 |