| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
|
8,936 |
8,353 |
$692K |
| 92004 |
|
2,220 |
2,083 |
$218K |
| 92015 |
|
8,989 |
8,402 |
$203K |
| V2020 |
Vision svcs frames purchases |
6,657 |
6,137 |
$199K |
| 92340 |
|
8,912 |
8,307 |
$176K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
6,762 |
3,840 |
$102K |
| 92012 |
|
1,335 |
1,190 |
$51K |
| 92250 |
|
2,542 |
2,369 |
$36K |
| V2784 |
Lens polycarb or equal |
2,229 |
2,112 |
$31K |
| V2100 |
Lens spher single plano 4.00 |
910 |
649 |
$16K |
| V2203 |
Lens sphcyl bifocal 4.00d/.1 |
103 |
63 |
$3K |
| V2104 |
Spherocylindr 4.00d/2.12-4d |
145 |
103 |
$3K |
| 99213 |
|
50 |
49 |
$3K |
| 92002 |
|
12 |
12 |
$835.68 |
| G8427 |
Docrev cur meds by elig clin |
3,805 |
3,393 |
$471.61 |
| G9903 |
Pt scrn tbco id as non user |
9,583 |
8,354 |
$306.39 |
| 92133 |
|
15 |
14 |
$304.27 |
| 92341 |
|
12 |
12 |
$288.00 |
| 99309 |
|
15 |
15 |
$196.17 |
| G8417 |
Calc bmi abv up param f/u |
3,190 |
2,731 |
$138.87 |
| 1036F |
|
652 |
608 |
$106.73 |
| G8428 |
Cur meds not document |
1,061 |
883 |
$100.83 |
| G8430 |
Doc med rsn no medrec |
1,913 |
1,564 |
$30.24 |
| G8420 |
Calc bmi norm parameters |
2,797 |
2,441 |
$13.61 |
| G8952 |
Pre-htn/htn, no f/u, not gvn |
33 |
27 |
$0.00 |
| G8418 |
Calc bmi blw low param f/u |
2,738 |
2,340 |
$0.00 |
| G8950 |
Pre-htn or htn doc, f/u indc |
413 |
350 |
$0.00 |
| G8754 |
Dias bp less 90 |
1,148 |
1,006 |
$0.00 |
| G2103 |
7 stereo photos interpret |
142 |
127 |
$0.00 |
| G9902 |
Pt scrn tbco and id as user |
195 |
143 |
$0.00 |
| G8755 |
Dias bp > or = 90 |
61 |
39 |
$0.00 |
| G9744 |
Pt not eli d/t act dig htn |
2,287 |
2,032 |
$0.00 |
| 2026F |
|
567 |
490 |
$0.00 |
| G8752 |
Sys bp less 140 |
685 |
580 |
$0.00 |
| G8783 |
Bp scrn perf rec interval |
205 |
171 |
$0.00 |
| G8753 |
Sys bp > or = 140 |
250 |
209 |
$0.00 |
| G8785 |
Bp scrn no perf at interval |
88 |
79 |
$0.00 |
| 2022F |
|
38 |
30 |
$0.00 |
| G2104 |
Eye img valid w/7 stereo |
28 |
28 |
$0.00 |