| Code | Description | Claims | Beneficiaries | Total Paid |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
2,862 |
1,850 |
$123K |
| 92065 |
|
2,794 |
1,804 |
$79K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
601 |
593 |
$41K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
846 |
821 |
$39K |
| 92015 |
Determination of refractive state |
2,547 |
2,478 |
$28K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,218 |
1,204 |
$24K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
30 |
29 |
$2K |
| 92250 |
|
95 |
93 |
$1K |
| 92341 |
|
57 |
56 |
$1K |
| 92060 |
|
34 |
34 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$1K |
| 92066 |
|
74 |
48 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
20 |
20 |
$950.59 |
| 99406 |
|
17 |
17 |
$0.00 |