| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92060 |
|
3,398 |
805 |
$143K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
1,205 |
216 |
$92K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
610 |
358 |
$47K |
| 92065 |
|
1,275 |
279 |
$35K |
| V2020 |
Frames, purchases |
906 |
607 |
$27K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
153 |
96 |
$3K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
26 |
26 |
$3K |
| 92015 |
Determination of refractive state |
220 |
206 |
$3K |
| V2755 |
U-v lens, per lens |
209 |
112 |
$3K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
60 |
30 |
$1K |