| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
910 |
841 |
$61K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
613 |
564 |
$49K |
| V2020 |
Frames, purchases |
1,925 |
1,729 |
$31K |
| 97533 |
|
856 |
283 |
$31K |
| 92065 |
|
888 |
295 |
$28K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,876 |
1,721 |
$23K |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
816 |
283 |
$18K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
317 |
279 |
$14K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
558 |
519 |
$9K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
166 |
136 |
$7K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
272 |
241 |
$4K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
29 |
28 |
$2K |
| 92015 |
Determination of refractive state |
239 |
233 |
$2K |
| 92060 |
|
12 |
12 |
$511.56 |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
18 |
12 |
$405.82 |
| 2023F |
|
66 |
63 |
$0.00 |