| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Vision svcs frames purchases |
157,387 |
155,737 |
$3.48M |
| V2100 |
Lens spher single plano 4.00 |
150,379 |
148,853 |
$2.84M |
| 92014 |
|
46,364 |
43,593 |
$1.68M |
| 92004 |
|
32,110 |
29,889 |
$1.23M |
| S0621 |
Routine ophthalmological exa |
29,772 |
29,681 |
$1.16M |
| S0620 |
Routine ophthalmological exa |
15,441 |
15,365 |
$593K |
| 92015 |
|
76,765 |
74,967 |
$500K |
| V2784 |
Lens polycarb or equal |
65,031 |
64,177 |
$356K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
1,890 |
1,871 |
$58K |
| V2750 |
Anti-reflective coating |
25,630 |
25,254 |
$22K |
| 92340 |
|
394 |
382 |
$5K |
| 99213 |
|
43 |
42 |
$1K |
| 92310 |
|
24 |
24 |
$872.00 |
| 92012 |
|
25 |
24 |
$743.12 |
| V2200 |
Lens spher bifoc plano 4.00d |
24 |
24 |
$495.00 |
| 92002 |
|
14 |
14 |
$438.56 |
| 92250 |
|
43 |
40 |
$231.58 |
| V2799 |
Misc vision item or service |
169 |
163 |
$30.00 |
| 1036F |
|
41 |
38 |
$0.00 |
| M1208 |
Pt no scrn sdoh |
14 |
14 |
$0.00 |
| V2715 |
Prism lens/es |
13 |
13 |
$0.00 |
| G8428 |
Cur meds not document |
40 |
39 |
$0.00 |
| G8785 |
Bp scrn no perf at interval |
57 |
57 |
$0.00 |
| G8427 |
Docrev cur meds by elig clin |
26 |
26 |
$0.00 |
| S9986 |
Not medically necessary svc |
40 |
24 |
$0.00 |