Total Paid
$33.5M
$33,458,060
Total Claims
1.1M
Beneficiaries
1.1M
1.0 claims/patient
Avg Cost/Claim
$30
Monthly Spending Trend
Yearly Spending
Procedure Breakdown
Cost per claim compared to national benchmarks
This provider bills for 34 distinct procedure codes. The top code (92014 (Ophthalmological exam, comprehensive, established patient)) accounts for 27% of total spending.
$8.9M
274K claims
$32.64
$47.08
Ophthalmological exam, comprehensive, established patient
$8.9M
274K claims · 26.7%
$5.3M
167K claims
$31.86
$59.72
Ophthalmological exam, comprehensive, new patient
$5.3M
167K claims · 15.9%
Frames, purchases
$5.2M
134K claims · 15.6%
$5.1M
163K claims
$31.57
$38.23
Ophthalmological exam, intermediate, established patient
$5.1M
163K claims · 15.4%
$1.8M
67K claims
$26.39
$18.82
Lens, sphere-cylinder, single vision, plus or minus 4.00
$1.8M
67K claims · 5.3%
$1.2M
39K claims
$31.98
$41.61
Intermediate eye exam, new patient
$1.2M
39K claims · 3.7%
Lens, polycarbonate or equal
$1.2M
47K claims · 3.6%
$873K
29K claims
$30.07
$37.81
Office/outpatient visit, est. patient, low-mod complexity
$873K
29K claims · 2.6%
Determination of refractive state
$819K
87K claims · 2.4%
$740K
18K claims
$41.76
$53.41
Office/outpatient visit, est. patient, mod-high complexity
$740K
18K claims · 2.2%
$599K
22K claims · 1.8%
$379K
8,762 claims
$43.23
$57.85
Office/outpatient visit, new patient, low-mod complexity
$379K
8,762 claims · 1.1%
$251K
13K claims
$19.22
$27.95
Fundus photography with interpretation and report
$251K
13K claims · 0.8%
$247K
11K claims
$22.80
$20.68
Lens, sphere, single vision, plus or minus 4.00
$247K
11K claims · 0.7%
$221K
3,573 claims
$61.88
$84.03
Office/outpatient visit, new patient, mod-high complexity
$221K
3,573 claims · 0.7%
$126K
1,313 claims · 0.4%
$54K
2,557 claims · 0.2%
$48K
1,469 claims · 0.1%
$40K
2,154 claims · 0.1%
$39K
3,970 claims · 0.1%
$31K
531 claims · 0.1%
$29K
626 claims
$46.83
$29.82
Visual field exam, extended testing, bilateral
$29K
626 claims · 0.1%
$23K
1,277 claims · 0.1%
$14K
660 claims
$21.51
$25.06
Office/outpatient visit, low complexity
$14K
660 claims · 0.0%
$8K
822 claims · 0.0%
$7K
260 claims · 0.0%
$7K
322 claims · 0.0%
$7K
226 claims · 0.0%
$5K
633 claims · 0.0%
$3K
63 claims · 0.0%
$3K
26 claims · 0.0%
$2K
289 claims · 0.0%
$351
16 claims · 0.0%
$40
26 claims · 0.0%
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