| Code | Description | Claims | Beneficiaries | Total Paid |
| 92065 |
|
1,304 |
459 |
$36K |
| 92060 |
|
844 |
784 |
$25K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
320 |
128 |
$23K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
236 |
234 |
$22K |
| 92015 |
Determination of refractive state |
639 |
608 |
$6K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
151 |
83 |
$4K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
42 |
42 |
$4K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
61 |
60 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
13 |
13 |
$2K |