| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92065 |
|
12,243 |
2,679 |
$368K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
12,244 |
2,679 |
$307K |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
12,227 |
2,679 |
$239K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
12,238 |
2,679 |
$145K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,594 |
2,131 |
$73K |
| 96112 |
|
147 |
143 |
$15K |
| 96116 |
|
176 |
170 |
$13K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
139 |
137 |
$10K |
| V2020 |
Frames, purchases |
331 |
318 |
$9K |
| 92083 |
|
161 |
155 |
$8K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
228 |
228 |
$8K |
| 92060 |
|
176 |
170 |
$6K |
| 95930 |
|
259 |
214 |
$6K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
33 |
32 |
$3K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
157 |
156 |
$3K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
251 |
250 |
$2K |
| 96111 |
|
28 |
26 |
$1K |
| 92283 |
|
87 |
84 |
$1K |
| 92015 |
Determination of refractive state |
71 |
65 |
$869.46 |
| V2760 |
Scratch resistant coating, per lens |
217 |
217 |
$428.00 |