| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92065 |
|
5,085 |
1,446 |
$154K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,674 |
2,311 |
$103K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,320 |
1,210 |
$100K |
| 97533 |
|
4,929 |
1,278 |
$99K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,456 |
1,342 |
$92K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
4,090 |
1,209 |
$82K |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
3,717 |
1,140 |
$70K |
| V2020 |
Frames, purchases |
1,896 |
1,717 |
$37K |
| 92060 |
|
672 |
643 |
$27K |
| 92250 |
|
702 |
636 |
$24K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
410 |
334 |
$16K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
749 |
688 |
$14K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,159 |
1,037 |
$14K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
345 |
303 |
$4K |
| 92015 |
Determination of refractive state |
350 |
341 |
$3K |
| V2799 |
Vision item or service, miscellaneous |
197 |
194 |
$3K |
| 68761 |
|
35 |
12 |
$2K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
151 |
112 |
$2K |
| 92083 |
|
48 |
24 |
$2K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
31 |
12 |
$616.76 |
| 92133 |
|
14 |
14 |
$353.42 |
| 2023F |
|
502 |
422 |
$0.00 |
| 3072F |
|
16 |
15 |
$0.00 |