| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
|
3,083 |
2,936 |
$245K |
| 92015 |
|
2,899 |
2,822 |
$91K |
| V2020 |
Vision svcs frames purchases |
2,609 |
2,552 |
$48K |
| 92340 |
|
2,153 |
2,103 |
$46K |
| 92004 |
|
427 |
414 |
$45K |
| V2784 |
Lens polycarb or equal |
1,255 |
1,235 |
$31K |
| 99214 |
|
525 |
328 |
$23K |
| 92012 |
|
496 |
448 |
$18K |
| 92133 |
|
288 |
270 |
$4K |
| V2100 |
Lens spher single plano 4.00 |
114 |
113 |
$3K |
| 99309 |
|
80 |
80 |
$1K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
38 |
38 |
$1K |
| 99213 |
|
33 |
27 |
$1K |
| 99305 |
|
16 |
16 |
$884.16 |
| 99310 |
Prolong nursin fac eval 15m |
64 |
64 |
$794.92 |
| 92341 |
|
27 |
27 |
$476.44 |
| 92250 |
|
25 |
25 |
$280.38 |
| G8427 |
Docrev cur meds by elig clin |
1,635 |
1,481 |
$145.60 |
| 92083 |
|
13 |
13 |
$137.85 |
| 1036F |
|
1,113 |
988 |
$44.74 |
| G8783 |
Bp scrn perf rec interval |
29 |
29 |
$0.00 |
| 2027F |
|
29 |
27 |
$0.00 |
| 2022F |
|
42 |
42 |
$0.00 |
| 5010F |
|
12 |
12 |
$0.00 |
| G9903 |
Pt scrn tbco id as non user |
1,026 |
904 |
$0.00 |
| 3284F |
|
13 |
13 |
$0.00 |
| G8952 |
Pre-htn/htn, no f/u, not gvn |
97 |
95 |
$0.00 |