| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
|
8,519 |
8,054 |
$708K |
| 92004 |
|
4,188 |
4,008 |
$433K |
| 92015 |
|
11,611 |
10,913 |
$297K |
| V2020 |
Vision svcs frames purchases |
9,020 |
8,409 |
$273K |
| 92340 |
|
7,704 |
7,210 |
$147K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
6,849 |
4,803 |
$130K |
| 92012 |
|
722 |
676 |
$22K |
| V2100 |
Lens spher single plano 4.00 |
747 |
617 |
$19K |
| 99213 |
|
483 |
451 |
$15K |
| V2203 |
Lens sphcyl bifocal 4.00d/.1 |
301 |
198 |
$8K |
| 92341 |
|
255 |
252 |
$6K |
| V2104 |
Spherocylindr 4.00d/2.12-4d |
248 |
183 |
$5K |
| 99212 |
|
146 |
136 |
$4K |
| V2107 |
Spherocylinder 4.25d/12-2d |
15 |
12 |
$489.88 |
| 99442 |
|
24 |
13 |
$187.72 |
| G8427 |
Docrev cur meds by elig clin |
1,664 |
1,524 |
$49.25 |
| G9903 |
Pt scrn tbco id as non user |
3,196 |
3,024 |
$28.94 |
| G8397 |
Dil macula/fundus exam/w doc |
377 |
376 |
$11.76 |
| G8430 |
Doc med rsn no medrec |
444 |
437 |
$0.00 |
| 3284F |
|
327 |
300 |
$0.00 |
| G9902 |
Pt scrn tbco and id as user |
24 |
24 |
$0.00 |
| G8952 |
Pre-htn/htn, no f/u, not gvn |
98 |
97 |
$0.00 |
| V2783 |
Lens, >= 1.66 p/>=1.80 g |
33 |
32 |
$0.00 |
| 2022F |
|
337 |
337 |
$0.00 |
| G2102 |
Dil retinal eye exam |
37 |
37 |
$0.00 |
| G8785 |
Bp scrn no perf at interval |
360 |
352 |
$0.00 |
| G9744 |
Pt not eli d/t act dig htn |
399 |
390 |
$0.00 |
| 5010F |
|
131 |
131 |
$0.00 |
| G9905 |
No pt tbco scrn rng |
95 |
92 |
$0.00 |
| G8783 |
Bp scrn perf rec interval |
28 |
28 |
$0.00 |