| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Vision svcs frames purchases |
8,875 |
8,509 |
$202K |
| V2100 |
Lens spher single plano 4.00 |
7,118 |
6,845 |
$159K |
| 92014 |
|
4,156 |
3,995 |
$149K |
| 92004 |
|
3,776 |
3,559 |
$125K |
| V2200 |
Lens spher bifoc plano 4.00d |
1,368 |
1,283 |
$51K |
| 99204 |
|
132 |
124 |
$22K |
| G8785 |
Bp scrn no perf at interval |
778 |
713 |
$14K |
| V2784 |
Lens polycarb or equal |
2,009 |
1,960 |
$11K |
| 99214 |
|
58 |
56 |
$7K |
| 92083 |
|
50 |
47 |
$3K |
| S0621 |
Routine ophthalmological exa |
58 |
45 |
$3K |
| G9905 |
No pt tbco scrn rng |
160 |
155 |
$2K |
| 92015 |
|
133 |
125 |
$2K |
| 92133 |
|
58 |
55 |
$2K |
| 92340 |
|
63 |
63 |
$2K |
| 99213 |
|
19 |
18 |
$2K |
| 92250 |
|
29 |
26 |
$1K |
| 76514 |
|
73 |
70 |
$842.68 |
| 92020 |
|
42 |
39 |
$735.00 |
| G8427 |
Docrev cur meds by elig clin |
885 |
815 |
$391.12 |
| G9903 |
Pt scrn tbco id as non user |
408 |
357 |
$111.45 |
| 1036F |
|
293 |
285 |
$0.00 |
| V2782 |
Lens, 1.54-1.65 p/1.60-1.79g |
17 |
13 |
$0.00 |
| G8397 |
Dil macula/fundus exam/w doc |
13 |
13 |
$0.00 |
| G9744 |
Pt not eli d/t act dig htn |
72 |
67 |
$0.00 |