Total Paid
$31.0M
$31,023,696
Total Claims
1.3M
Beneficiaries
1.3M
1.0 claims/patient
Avg Cost/Claim
$24
Monthly Spending Trend
Yearly Spending
Procedure Breakdown
Cost per claim compared to national benchmarks
This provider bills for 46 distinct procedure codes. The top code (V2020 (Frames, purchases)) accounts for 28% of total spending.
Frames, purchases
$8.6M
303K claims · 27.7%
$5.9M
132K claims · 19.0%
$5.0M
114K claims · 16.0%
$4.7M
239K claims
$19.57
$19.46
Fitting of spectacles, except for aphakia
$4.7M
239K claims · 15.1%
$2.1M
179K claims
$11.48
$20.68
Lens, sphere, single vision, plus or minus 4.00
$2.1M
179K claims · 6.6%
$1.2M
53K claims · 3.8%
Lens, polycarbonate or equal
$900K
68K claims · 2.9%
$738K
65K claims
$11.33
$18.82
Lens, sphere-cylinder, single vision, plus or minus 4.00
$738K
65K claims · 2.4%
$514K
33K claims · 1.7%
$329K
6,821 claims
$48.28
$59.72
Ophthalmological exam, comprehensive, new patient
$329K
6,821 claims · 1.1%
$274K
5,567 claims
$49.30
$47.08
Ophthalmological exam, comprehensive, established patient
$274K
5,567 claims · 0.9%
$256K
19K claims · 0.8%
$126K
5,818 claims · 0.4%
$110K
9,447 claims · 0.4%
$109K
4,159 claims · 0.4%
$86K
7,573 claims · 0.3%
$31K
1,954 claims · 0.1%
$27K
5,280 claims · 0.1%
$20K
1,809 claims
$11.20
$10.36
Determination of refractive state
$20K
1,809 claims · 0.1%
$17K
1,605 claims · 0.1%
$15K
1,271 claims · 0.0%
$15K
1,309 claims · 0.0%
$14K
1,590 claims · 0.0%
$14K
1,695 claims · 0.0%
$13K
1,744 claims · 0.0%
$11K
975 claims · 0.0%
$8K
353 claims
$22.30
$27.95
Fundus photography with interpretation and report
$8K
353 claims · 0.0%
$5K
906 claims · 0.0%
$4K
158 claims · 0.0%
$3K
7,947 claims · 0.0%
$2K
41 claims · 0.0%
$2K
27 claims
$72.29
$53.41
Office/outpatient visit, est. patient, mod-high complexity
$2K
27 claims · 0.0%
$1K
15 claims
$97.19
$84.03
Office/outpatient visit, new patient, mod-high complexity
$1K
15 claims · 0.0%
$794
87 claims · 0.0%
$693
12 claims
$57.76
$57.85
Office/outpatient visit, new patient, low-mod complexity
$693
12 claims · 0.0%
$362
12 claims
$30.18
$25.06
Office/outpatient visit, low complexity
$362
12 claims · 0.0%
$85
10K claims · 0.0%
$36
952 claims · 0.0%
$20
111 claims · 0.0%
$0
1,281 claims · 0.0%
$0
40 claims · 0.0%
$0
12 claims · 0.0%
$0
14 claims · 0.0%
$0
64 claims · 0.0%
$0
91 claims · 0.0%
$0
276 claims · 0.0%
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