| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
|
36,520 |
34,691 |
$3.09M |
| 92004 |
|
25,611 |
24,537 |
$2.65M |
| V2020 |
Vision svcs frames purchases |
58,756 |
55,452 |
$2.22M |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
35,042 |
32,934 |
$1.78M |
| 92015 |
|
63,311 |
60,510 |
$859K |
| V2755 |
Uv lens/es |
38,727 |
36,527 |
$609K |
| 99213 |
|
11,436 |
10,170 |
$556K |
| 99214 |
|
4,223 |
3,793 |
$324K |
| 92250 |
|
10,141 |
9,278 |
$315K |
| V2203 |
Lens sphcyl bifocal 4.00d/.1 |
3,090 |
2,908 |
$184K |
| V2303 |
Lens sphcy trifocal 4.0/.12- |
1,978 |
1,824 |
$147K |
| V2100 |
Lens spher single plano 4.00 |
3,838 |
3,598 |
$138K |
| 92060 |
|
2,302 |
2,185 |
$110K |
| V2104 |
Spherocylindr 4.00d/2.12-4d |
2,336 |
2,184 |
$98K |
| 92065 |
|
1,756 |
839 |
$62K |
| 92083 |
|
1,977 |
1,791 |
$61K |
| V2107 |
Spherocylinder 4.25d/12-2d |
1,068 |
995 |
$53K |
| 68761 |
|
423 |
192 |
$29K |
| 92133 |
|
1,226 |
1,115 |
$23K |
| V2715 |
Prism lens/es |
3,855 |
3,529 |
$19K |
| 92020 |
|
613 |
552 |
$8K |
| V2300 |
Lens sphere trifocal 4.00d |
99 |
87 |
$4K |
| V2108 |
Spherocylinder 4.25d/2.12-4d |
44 |
40 |
$2K |
| V2105 |
Spherocylinder 4.00d/4.25-6d |
42 |
41 |
$2K |
| V2200 |
Lens spher bifoc plano 4.00d |
58 |
55 |
$1K |
| 76514 |
|
151 |
143 |
$686.10 |
| V2101 |
Single visn sphere 4.12-7.00 |
14 |
13 |
$637.42 |
| V2204 |
Lens sphcy bifocal 4.00d/2.1 |
12 |
12 |
$597.37 |
| V2784 |
Lens polycarb or equal |
13 |
13 |
$558.12 |
| G8427 |
Docrev cur meds by elig clin |
1,244 |
1,084 |
$0.00 |
| G8731 |
Pain neg no plan |
1,045 |
911 |
$0.00 |
| G8785 |
Bp scrn no perf at interval |
26 |
26 |
$0.00 |
| 99203 |
|
13 |
13 |
$0.00 |
| 1036F |
|
33 |
25 |
$0.00 |
| G9903 |
Pt scrn tbco id as non user |
29 |
25 |
$0.00 |
| G8428 |
Cur meds not document |
14 |
13 |
$0.00 |
| G8756 |
No bp measure doc |
12 |
12 |
$0.00 |