| Code | Description | Claims | Beneficiaries | Total Paid |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
3,067 |
1,055 |
$200K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
2,054 |
915 |
$55K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
338 |
335 |
$29K |
| 92060 |
|
615 |
609 |
$23K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
367 |
364 |
$23K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
275 |
265 |
$15K |
| 92015 |
Determination of refractive state |
804 |
795 |
$10K |
| 96111 |
|
15 |
14 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$951.94 |