| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
629 |
610 |
$44K |
| 92065 |
|
688 |
257 |
$17K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
687 |
256 |
$15K |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
661 |
244 |
$14K |
| V2020 |
Frames, purchases |
325 |
310 |
$8K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
265 |
254 |
$7K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
207 |
201 |
$6K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
53 |
52 |
$5K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
345 |
329 |
$4K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
85 |
79 |
$4K |
| 92060 |
|
71 |
54 |
$2K |
| 96111 |
|
31 |
27 |
$1K |
| 96112 |
|
37 |
24 |
$900.10 |
| 92015 |
Determination of refractive state |
647 |
622 |
$20.22 |