| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
|
19,817 |
18,445 |
$1.33M |
| 92004 |
|
14,526 |
13,675 |
$1.30M |
| 92015 |
|
43,667 |
40,272 |
$693K |
| V2020 |
Vision svcs frames purchases |
29,615 |
26,995 |
$550K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
16,269 |
12,506 |
$273K |
| V2784 |
Lens polycarb or equal |
19,218 |
17,715 |
$166K |
| 92250 |
|
4,089 |
3,240 |
$86K |
| 99213 |
|
2,307 |
1,833 |
$71K |
| 99204 |
|
388 |
371 |
$39K |
| V2100 |
Lens spher single plano 4.00 |
2,435 |
1,915 |
$34K |
| 99214 |
|
706 |
587 |
$34K |
| 92340 |
|
2,262 |
2,157 |
$18K |
| V2203 |
Lens sphcyl bifocal 4.00d/.1 |
325 |
154 |
$11K |
| 92083 |
|
174 |
142 |
$5K |
| 92060 |
|
122 |
117 |
$4K |
| V2104 |
Spherocylindr 4.00d/2.12-4d |
177 |
144 |
$3K |
| V2781 |
Progressive lens per lens |
44 |
39 |
$3K |
| 92133 |
|
149 |
122 |
$2K |
| V2200 |
Lens spher bifoc plano 4.00d |
53 |
26 |
$2K |
| 99203 |
|
30 |
13 |
$632.32 |
| 92314 |
|
19 |
19 |
$150.00 |
| V2715 |
Prism lens/es |
32 |
25 |
$117.50 |
| 1036F |
|
236 |
219 |
$0.00 |
| G8950 |
Pre-htn or htn doc, f/u indc |
98 |
91 |
$0.00 |
| G9903 |
Pt scrn tbco id as non user |
80 |
72 |
$0.00 |
| G8952 |
Pre-htn/htn, no f/u, not gvn |
38 |
21 |
$0.00 |
| G8427 |
Docrev cur meds by elig clin |
719 |
649 |
$0.00 |
| G9744 |
Pt not eli d/t act dig htn |
12 |
12 |
$0.00 |
| 2027F |
|
12 |
12 |
$0.00 |