| Code | Description | Claims | Beneficiaries | Total Paid |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
1,386 |
222 |
$19K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
1,452 |
233 |
$12K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
107 |
107 |
$6K |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
188 |
42 |
$2K |
| 97116 |
|
198 |
44 |
$1K |
| V2020 |
Frames, purchases |
58 |
58 |
$632.50 |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
26 |
13 |
$534.04 |