| Code | Description | Claims | Beneficiaries | Total Paid |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
5,805 |
1,390 |
$180K |
| 92065 |
|
6,059 |
1,443 |
$160K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
5,804 |
1,390 |
$92K |
| 92060 |
|
1,398 |
1,232 |
$44K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
777 |
728 |
$43K |
| 96116 |
|
268 |
207 |
$23K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
514 |
469 |
$17K |
| 92015 |
Determination of refractive state |
809 |
704 |
$12K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
90 |
88 |
$8K |
| V2020 |
Frames, purchases |
325 |
296 |
$7K |
| 92250 |
|
108 |
95 |
$3K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
210 |
200 |
$2K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
69 |
66 |
$2K |
| V2760 |
Scratch resistant coating, per lens |
54 |
53 |
$96.00 |