CA ($1.04M) IN ($505K) NY ($307K) MS ($249K) AZ ($65K) KY ($20K) RI ($18K) IL ($7K) NV ($2K) CO ($1K) WA ($876.72) MI ($0.00)
| Code | Description | Total Paid |
|---|---|---|
| 99204 | Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | $280K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | $210K |
| 19318 | $209K | |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | $190K |
| 96156 | $137K | |
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | $128K |
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | $122K |
| V2020 | Frames, purchases | $119K |
| 99215 | Prolong outpt/office vis | $90K |
| 92015 | Determination of refractive state | $80K |
| # | Provider | Location | Claims | Total Paid |
|---|---|---|---|---|
| 1 | CHILDREN'S HOSPITAL OF ORANGE COUNTY | ORANGE, CA | 24,245 | $754K |
| 2 | MICHIANA EYE CENTER LLC | SOUTH BEND, IN | 12,222 | $505K |
| 3 | PLASTIC SURGERY GROUP OF ROCHESTER LLC | ROCHESTER, NY | 2,481 | $276K |
| 4 | PERLMAN CENTER FOR EYE AND EYELID SURGERY MEDICAL CORP | WOODLAND, CA | 8,273 | $261K |
| 5 | PLASTIC & HAND SURGERY ASSOCIATES PLLC | FLOWOOD, MS | 1,067 | $249K |
| 6 | BUENO, REUBEN | PHOENIX, AZ | 729 | $65K |
| 7 | U OF R PLASTIC SURGEONS | ROCHESTER, NY | 298 | $31K |
| 8 | THE REGENTS OF THE UNIVERSITY OF CALIFORNIA | LOS ANGELES, CA | 339 | $19K |
| 9 | WOO, ALBERT | PROVIDENCE, RI | 176 | $18K |
| 10 | MARTIN S FOX | LOUISVILLE, KY | 229 | $17K |
| 11 | RUEBHAUSEN, MICHAEL | DECATUR, IL | 127 | $7K |
| 12 | CHARIKER, MARK | LOUISVILLE, KY | 44 | $3K |
| 13 | MENEZES, JOHN | LAS VEGAS, NV | 200 | $2K |
| 14 | TIRRE, CONRAD | DENVER, CO | 14 | $1K |
| 15 | LANGSTEIN, HOWARD | ROCHESTER, NY | 77 | $949.17 |
| 16 | PROLIANCE SURGEONS INC., P.S. | EDMONDS, WA | 12 | $876.72 |
| 17 | REGENTS OF THE UNIVERSITY OF CALIFORNIA | SAN DIEGO, CA | 14 | $402.16 |
| 18 | EDWARD W. SPARROW HOSPITAL ASSOCIATION | LANSING, MI | 71 | $0.00 |