| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
|
70,771 |
68,251 |
$4.76M |
| 99213 |
|
87,393 |
83,571 |
$4.42M |
| 93306 |
|
15,040 |
14,279 |
$1.65M |
| 93303 |
|
12,510 |
11,342 |
$1.16M |
| 93325 |
|
20,072 |
17,162 |
$1.11M |
| 99391 |
|
12,424 |
11,694 |
$1.09M |
| 99215 |
Prolong outpt/office vis |
11,092 |
10,583 |
$1.07M |
| 99392 |
|
10,737 |
10,492 |
$1.01M |
| 99204 |
|
10,438 |
10,178 |
$963K |
| 99472 |
|
3,153 |
725 |
$932K |
| 99203 |
|
14,457 |
14,076 |
$909K |
| 93010 |
|
35,104 |
29,552 |
$668K |
| 71045 |
|
36,634 |
18,468 |
$638K |
| 93320 |
|
13,511 |
11,945 |
$587K |
| 99480 |
|
5,733 |
1,511 |
$578K |
| 99233 |
Prolong inpt eval add15 m |
7,182 |
3,045 |
$552K |
| 71046 |
|
18,849 |
18,139 |
$391K |
| 95810 |
|
2,045 |
1,993 |
$371K |
| 74018 |
|
23,024 |
16,905 |
$321K |
| 76770 |
|
7,471 |
7,311 |
$314K |
| 99393 |
|
3,094 |
3,059 |
$297K |
| 99205 |
Prolong outpt/office vis |
2,296 |
2,236 |
$285K |
| 99232 |
|
5,319 |
2,729 |
$273K |
| 70553 |
|
2,302 |
2,063 |
$259K |
| V2020 |
Vision svcs frames purchases |
4,548 |
4,442 |
$207K |
| 69436 |
|
745 |
723 |
$201K |
| 99469 |
|
548 |
146 |
$190K |
| 90686 |
|
13,088 |
12,926 |
$185K |
| 92340 |
|
4,739 |
4,615 |
$172K |
| 92015 |
|
12,492 |
12,024 |
$159K |
| 99394 |
|
1,462 |
1,438 |
$150K |
| 99479 |
|
1,293 |
363 |
$136K |
| 99291 |
|
909 |
330 |
$135K |
| 76705 |
|
4,144 |
3,963 |
$124K |
| 99239 |
|
1,010 |
977 |
$122K |
| 43239 |
|
1,210 |
1,183 |
$121K |
| 95251 |
|
3,165 |
3,080 |
$121K |
| 93227 |
|
1,975 |
1,886 |
$116K |
| 90670 |
|
7,214 |
7,107 |
$111K |
| V2784 |
Lens polycarb or equal |
4,164 |
4,062 |
$96K |
| 99460 |
|
757 |
737 |
$85K |
| 92060 |
|
2,323 |
2,228 |
$84K |
| 99310 |
Prolong nursin fac eval 15m |
1,134 |
749 |
$82K |
| 90648 |
|
5,547 |
5,464 |
$82K |
| 87637 |
|
568 |
564 |
$81K |
| 95004 |
|
1,722 |
1,683 |
$77K |
| 94375 |
|
2,791 |
2,696 |
$63K |
| 74019 |
|
3,528 |
3,408 |
$62K |
| 83036 |
|
6,450 |
6,268 |
$60K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
1,910 |
1,899 |
$60K |
| 99244 |
|
611 |
607 |
$59K |
| 99212 |
|
2,103 |
2,057 |
$55K |
| 70551 |
|
753 |
720 |
$54K |
| 90723 |
|
3,381 |
3,329 |
$49K |
| 99238 |
|
679 |
651 |
$48K |
| 92004 |
|
797 |
771 |
$48K |
| 93304 |
|
971 |
812 |
$48K |
| 95782 |
|
501 |
495 |
$44K |
| 93321 |
|
2,620 |
2,162 |
$41K |
| 99457 |
|
1,162 |
1,132 |
$39K |
| 42820 |
|
117 |
114 |
$39K |
| 96110 |
|
2,428 |
2,377 |
$37K |
| 99202 |
|
591 |
586 |
$36K |
| 70450 |
|
842 |
791 |
$34K |
| 73590 |
|
2,957 |
2,581 |
$30K |
| 99222 |
|
302 |
288 |
$29K |
| 0241U |
|
211 |
197 |
$27K |
| 99309 |
|
402 |
315 |
$26K |
| 90680 |
|
1,764 |
1,724 |
$25K |
| 87502 |
|
227 |
226 |
$23K |
| 87651 |
|
483 |
474 |
$18K |
| 85018 |
|
6,353 |
6,229 |
$16K |
| 73552 |
|
1,050 |
903 |
$16K |
| 99223 |
Prolong inpt eval add15 m |
128 |
118 |
$16K |
| V2104 |
Spherocylindr 4.00d/2.12-4d |
455 |
452 |
$16K |
| 94680 |
|
166 |
161 |
$15K |
| 0071A |
|
401 |
401 |
$15K |
| 17110 |
|
334 |
319 |
$15K |
| 92551 |
|
1,000 |
978 |
$14K |
| 43762 |
|
114 |
112 |
$14K |
| 73090 |
|
1,491 |
1,355 |
$14K |
| 92014 |
|
253 |
249 |
$14K |
| 95720 |
|
86 |
46 |
$14K |
| 92002 |
|
391 |
379 |
$13K |
| 0072A |
|
332 |
332 |
$13K |
| 90633 |
|
828 |
819 |
$12K |
| 95812 |
|
192 |
187 |
$12K |
| 95819 |
|
408 |
401 |
$11K |
| 36415 |
|
2,362 |
2,313 |
$10K |
| 73521 |
|
529 |
510 |
$10K |
| 0002A |
|
253 |
253 |
$10K |
| 99462 |
|
169 |
151 |
$9K |
| 93005 |
|
633 |
614 |
$9K |
| 94060 |
|
330 |
323 |
$9K |
| 76377 |
|
211 |
171 |
$9K |
| 95012 |
|
1,054 |
1,035 |
$9K |
| 25600 |
|
60 |
54 |
$8K |
| 72082 |
|
528 |
509 |
$8K |
| J7354 |
Cantharidin top, applicator |
12 |
12 |
$8K |
| 95813 |
|
109 |
105 |
$8K |
| 76700 |
|
192 |
185 |
$8K |
| 93308 |
|
174 |
130 |
$8K |
| 0111A |
|
204 |
204 |
$8K |
| 0001A |
|
195 |
193 |
$7K |
| 99231 |
|
254 |
161 |
$7K |
| 73610 |
|
562 |
523 |
$7K |
| 87880 |
|
418 |
409 |
$7K |
| 73630 |
|
475 |
430 |
$6K |
| 90651 |
|
412 |
407 |
$6K |
| V2100 |
Lens spher single plano 4.00 |
212 |
178 |
$6K |
| 87635 |
|
104 |
100 |
$5K |
| 93975 |
|
54 |
51 |
$5K |
| 96112 |
|
62 |
59 |
$5K |
| 99243 |
|
82 |
75 |
$5K |
| 0054A |
|
111 |
111 |
$4K |
| 76506 |
|
118 |
93 |
$4K |
| V2756 |
Eye glass case |
3,382 |
3,312 |
$4K |
| 51798 |
|
529 |
506 |
$4K |
| 92201 |
|
119 |
81 |
$4K |
| 96450 |
|
157 |
143 |
$4K |
| 94621 |
|
84 |
71 |
$4K |
| 0112A |
|
97 |
97 |
$4K |
| 73100 |
|
403 |
374 |
$3K |
| 0074A |
|
93 |
93 |
$3K |
| 99221 |
|
65 |
63 |
$3K |
| 0124A |
|
82 |
82 |
$3K |
| 99217 |
|
52 |
52 |
$3K |
| 96372 |
|
285 |
282 |
$3K |
| 96127 |
|
53 |
53 |
$3K |
| 87811 |
|
59 |
57 |
$2K |
| 99454 |
|
46 |
45 |
$2K |
| 99417 |
Prolong home eval add 15m |
453 |
304 |
$2K |
| 74230 |
|
96 |
96 |
$2K |
| 99356 |
|
44 |
40 |
$2K |
| 99418 |
Prolong nursin fac eval 15m |
88 |
70 |
$2K |
| 77072 |
|
191 |
187 |
$2K |
| 90734 |
|
124 |
123 |
$2K |
| 43760 |
|
101 |
98 |
$2K |
| 73140 |
|
193 |
180 |
$2K |
| 0004A |
|
48 |
48 |
$2K |
| 42830 |
|
13 |
13 |
$2K |
| 92133 |
|
81 |
77 |
$2K |
| 73070 |
|
207 |
193 |
$2K |
| 90681 |
|
99 |
99 |
$1K |
| 31231 |
|
70 |
67 |
$1K |
| 95816 |
|
55 |
55 |
$1K |
| 92012 |
|
49 |
49 |
$1K |
| 29450 |
|
60 |
27 |
$1K |
| 80061 |
|
82 |
82 |
$1K |
| 73562 |
|
80 |
78 |
$1K |
| 99173 |
|
502 |
494 |
$1K |
| 72081 |
|
79 |
76 |
$1K |
| 90715 |
|
64 |
64 |
$987.51 |
| 99308 |
|
20 |
20 |
$914.49 |
| 99242 |
|
13 |
13 |
$772.92 |
| 93888 |
|
21 |
13 |
$764.59 |
| 92552 |
|
59 |
55 |
$764.38 |
| 99188 |
|
35 |
34 |
$698.03 |
| 90710 |
|
52 |
52 |
$652.36 |
| 90696 |
|
52 |
52 |
$652.36 |
| 0154A |
|
18 |
18 |
$602.51 |
| 72170 |
|
75 |
74 |
$598.31 |
| 0052A |
|
15 |
15 |
$570.73 |
| G2212 |
Prolong outpt/office vis |
15 |
15 |
$561.60 |
| 99091 |
|
28 |
28 |
$558.00 |
| 76536 |
|
14 |
14 |
$492.23 |
| L3908 |
Who cock-up nonmolde pre ots |
12 |
12 |
$467.08 |
| 29065 |
|
12 |
12 |
$392.06 |
| 90471 |
|
27 |
27 |
$367.43 |
| 93018 |
|
13 |
12 |
$334.08 |
| 94150 |
|
258 |
252 |
$318.76 |
| 90620 |
|
17 |
17 |
$317.87 |
| 90656 |
|
23 |
23 |
$267.55 |
| 94640 |
|
13 |
12 |
$246.16 |
| 94728 |
|
28 |
25 |
$244.29 |
| Q4008 |
Cast sup long arm ped fbrgls |
57 |
53 |
$225.18 |
| 92025 |
|
28 |
24 |
$224.60 |
| 73130 |
|
13 |
12 |
$210.05 |
| 81025 |
|
29 |
28 |
$206.38 |
| 77001 |
|
14 |
13 |
$206.16 |
| 76937 |
|
13 |
12 |
$167.29 |
| 90685 |
|
14 |
14 |
$141.93 |
| 73080 |
|
12 |
12 |
$140.30 |
| 99000 |
|
1,568 |
1,535 |
$128.70 |
| 81003 |
|
55 |
51 |
$80.43 |
| 36416 |
|
4,149 |
4,079 |
$44.86 |
| J1100 |
Dexamethasone sodium phos |
43 |
43 |
$38.78 |
| 90691 |
|
12 |
12 |
$0.12 |
| 90378 |
|
52 |
52 |
$0.10 |
| 91312 |
|
34 |
30 |
$0.00 |
| 91300 |
|
98 |
98 |
$0.00 |
| 91311 |
|
103 |
101 |
$0.00 |
| 90460 |
|
63 |
63 |
$0.00 |
| 91307 |
|
373 |
351 |
$0.00 |
| 91305 |
|
78 |
75 |
$0.00 |
| 90717 |
|
31 |
31 |
$0.00 |