| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
|
20,445 |
17,888 |
$1.68M |
| V2020 |
Vision svcs frames purchases |
25,112 |
22,250 |
$1.43M |
| V2199 |
Lens single vision not oth c |
19,829 |
17,807 |
$1.17M |
| 92004 |
|
8,613 |
7,901 |
$964K |
| 92015 |
|
28,721 |
26,589 |
$300K |
| V2299 |
Lens bifocal speciality |
2,776 |
2,591 |
$260K |
| 99213 |
|
2,486 |
1,668 |
$70K |
| V2784 |
Lens polycarb or equal |
1,395 |
1,307 |
$50K |
| V2781 |
Progressive lens per lens |
175 |
159 |
$24K |
| 92250 |
|
409 |
325 |
$13K |
| 92134 |
|
558 |
400 |
$9K |
| 92133 |
|
451 |
322 |
$8K |
| 92012 |
|
177 |
127 |
$7K |
| 99212 |
|
215 |
160 |
$5K |
| 92083 |
|
86 |
62 |
$3K |
| 92370 |
|
81 |
78 |
$2K |
| 99214 |
|
43 |
28 |
$2K |
| V2715 |
Prism lens/es |
188 |
172 |
$1K |
| 92340 |
|
16 |
16 |
$960.00 |
| V2783 |
Lens, >= 1.66 p/>=1.80 g |
13 |
12 |
$854.40 |
| 4177F |
|
55 |
54 |
$0.00 |
| 3284F |
|
51 |
51 |
$0.00 |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
142 |
142 |
$0.00 |
| G9903 |
Pt scrn tbco id as non user |
391 |
362 |
$0.00 |
| G9366 |
1high risk no ord |
161 |
151 |
$0.00 |
| 1036F |
|
425 |
375 |
$0.00 |
| V2104 |
Spherocylindr 4.00d/2.12-4d |
54 |
54 |
$0.00 |
| G8950 |
Pre-htn or htn doc, f/u indc |
168 |
166 |
$0.00 |
| M1208 |
Pt no scrn sdoh |
236 |
228 |
$0.00 |
| G8732 |
No doc of pain |
47 |
44 |
$0.00 |
| G8754 |
Dias bp less 90 |
16 |
15 |
$0.00 |
| G8428 |
Cur meds not document |
15 |
14 |
$0.00 |
| G8427 |
Docrev cur meds by elig clin |
4,165 |
3,999 |
$0.00 |
| G9368 |
>= 2 same hi-rsk med not ord |
1,209 |
1,147 |
$0.00 |
| G8783 |
Bp scrn perf rec interval |
627 |
603 |
$0.00 |
| 2022F |
|
457 |
453 |
$0.00 |
| G8421 |
Bmi not calculated |
193 |
186 |
$0.00 |
| G8731 |
Pain neg no plan |
1,570 |
1,535 |
$0.00 |
| 2027F |
|
97 |
95 |
$0.00 |
| M1210 |
>=2 same meds tbl4 not ord |
373 |
359 |
$0.00 |
| G9974 |
Mac exam perf |
73 |
70 |
$0.00 |
| G8785 |
Bp scrn no perf at interval |
23 |
23 |
$0.00 |
| G2102 |
Dil retinal eye exam |
12 |
12 |
$0.00 |
| G8730 |
Pain doc pos and plan |
12 |
12 |
$0.00 |