| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
|
1,297 |
1,246 |
$125K |
| 92015 |
|
2,015 |
1,937 |
$79K |
| V2020 |
Vision svcs frames purchases |
1,972 |
1,886 |
$66K |
| V2100 |
Lens spher single plano 4.00 |
836 |
822 |
$31K |
| 92340 |
|
1,820 |
1,739 |
$28K |
| 92004 |
|
150 |
145 |
$17K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
875 |
573 |
$16K |
| 92012 |
|
97 |
96 |
$7K |
| 92250 |
|
15 |
13 |
$688.24 |
| V2203 |
Lens sphcyl bifocal 4.00d/.1 |
12 |
12 |
$562.27 |
| 1036F |
|
582 |
558 |
$0.00 |
| G9903 |
Pt scrn tbco id as non user |
1,403 |
1,304 |
$0.00 |
| G8418 |
Calc bmi blw low param f/u |
658 |
631 |
$0.00 |
| G8420 |
Calc bmi norm parameters |
185 |
180 |
$0.00 |
| G8430 |
Doc med rsn no medrec |
195 |
186 |
$0.00 |
| G8950 |
Pre-htn or htn doc, f/u indc |
12 |
12 |
$0.00 |
| G8427 |
Docrev cur meds by elig clin |
1,351 |
1,267 |
$0.00 |
| G8417 |
Calc bmi abv up param f/u |
149 |
141 |
$0.00 |