| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,707 |
3,417 |
$226K |
| V2020 |
Frames, purchases |
3,095 |
2,803 |
$95K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,680 |
2,490 |
$76K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
879 |
790 |
$69K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
3,227 |
2,923 |
$65K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
3,002 |
2,709 |
$63K |
| 92015 |
Determination of refractive state |
6,462 |
5,860 |
$61K |
| 92065 |
|
1,597 |
654 |
$46K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
504 |
431 |
$17K |
| 92066 |
|
809 |
282 |
$13K |
| 96112 |
|
105 |
94 |
$10K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
504 |
194 |
$9K |
| 92060 |
|
212 |
184 |
$7K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
390 |
154 |
$4K |
| 92499 |
|
1,817 |
696 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
29 |
25 |
$2K |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
25 |
12 |
$473.52 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
14 |
12 |
$378.46 |
| 99072 |
|
1,708 |
1,044 |
$0.00 |
| 888888 |
|
409 |
311 |
$0.00 |
| 99199 |
Unlisted special service, procedure or report |
56 |
54 |
$0.00 |