| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
|
41,782 |
39,720 |
$1.59M |
| 92250 |
|
19,719 |
19,219 |
$696K |
| 66984 |
|
1,782 |
1,635 |
$670K |
| 99203 |
|
9,926 |
9,786 |
$615K |
| 92015 |
|
18,218 |
17,857 |
$306K |
| 67028 |
|
5,204 |
4,450 |
$265K |
| 92014 |
|
10,085 |
9,844 |
$211K |
| 92134 |
|
9,163 |
8,579 |
$155K |
| 92012 |
|
12,272 |
11,490 |
$149K |
| V2100 |
Lens spher single plano 4.00 |
20,260 |
9,957 |
$140K |
| 65800 |
|
4,974 |
4,316 |
$127K |
| V2020 |
Vision svcs frames purchases |
14,627 |
14,267 |
$111K |
| J9035 |
Bevacizumab injection |
3,745 |
3,304 |
$103K |
| 67210 |
|
357 |
295 |
$97K |
| 92083 |
|
2,742 |
2,664 |
$94K |
| 92004 |
|
2,060 |
1,986 |
$78K |
| 92060 |
|
3,207 |
3,183 |
$76K |
| 92133 |
|
3,612 |
3,498 |
$70K |
| 92340 |
|
2,500 |
2,434 |
$32K |
| 99204 |
|
379 |
376 |
$31K |
| 99214 |
|
619 |
591 |
$30K |
| 92136 |
|
1,124 |
1,067 |
$27K |
| 93886 |
|
250 |
234 |
$20K |
| 65855 |
|
71 |
53 |
$19K |
| 92235 |
|
614 |
594 |
$18K |
| 93892 |
|
247 |
233 |
$15K |
| 99212 |
|
347 |
344 |
$15K |
| 93890 |
|
248 |
233 |
$14K |
| 66821 |
|
182 |
153 |
$13K |
| 67228 |
|
34 |
27 |
$11K |
| 76512 |
|
109 |
75 |
$5K |
| 64612 |
|
68 |
66 |
$4K |
| 92002 |
|
88 |
88 |
$3K |
| V2200 |
Lens spher bifoc plano 4.00d |
1,104 |
556 |
$2K |
| V2784 |
Lens polycarb or equal |
18,157 |
8,935 |
$2K |
| 76514 |
|
217 |
209 |
$1K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
3,013 |
1,547 |
$671.28 |
| V2750 |
Anti-reflective coating |
501 |
233 |
$470.00 |
| V2744 |
Tint photochromatic lens/es |
98 |
49 |
$420.00 |
| 92082 |
|
13 |
13 |
$383.50 |
| 92285 |
|
27 |
25 |
$282.43 |
| 95930 |
|
12 |
12 |
$276.00 |
| V2104 |
Spherocylindr 4.00d/2.12-4d |
715 |
362 |
$223.76 |
| 92201 |
|
30 |
29 |
$165.79 |
| 92020 |
|
12 |
12 |
$120.58 |
| V2782 |
Lens, 1.54-1.65 p/1.60-1.79g |
131 |
65 |
$0.00 |
| 2023F |
|
12 |
12 |
$0.00 |
| J0178 |
Aflibercept injection |
64 |
55 |
$0.00 |
| J2778 |
Ranibizumab injection |
77 |
65 |
$0.00 |
| 3072F |
|
233 |
192 |
$0.00 |
| V2781 |
Progressive lens per lens |
54 |
27 |
$0.00 |
| V2203 |
Lens sphcyl bifocal 4.00d/.1 |
428 |
219 |
$0.00 |