| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
|
3,668 |
3,365 |
$191K |
| V2020 |
Vision svcs frames purchases |
7,707 |
7,251 |
$175K |
| 92340 |
|
6,537 |
6,129 |
$174K |
| 92015 |
|
5,810 |
5,346 |
$111K |
| 92004 |
|
1,411 |
1,297 |
$96K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
4,230 |
3,982 |
$69K |
| V2784 |
Lens polycarb or equal |
6,736 |
6,347 |
$35K |
| 92341 |
|
534 |
518 |
$18K |
| V2100 |
Lens spher single plano 4.00 |
1,034 |
966 |
$9K |
| V2203 |
Lens sphcyl bifocal 4.00d/.1 |
299 |
290 |
$7K |
| 99213 |
|
192 |
161 |
$6K |
| 00000 |
|
98 |
25 |
$2K |
| V2107 |
Spherocylinder 4.25d/12-2d |
58 |
57 |
$710.92 |
| 92250 |
|
68 |
52 |
$394.27 |
| 92370 |
|
37 |
35 |
$350.00 |
| V2104 |
Spherocylindr 4.00d/2.12-4d |
25 |
25 |
$263.00 |
| G8427 |
Docrev cur meds by elig clin |
209 |
180 |
$0.00 |
| G8783 |
Bp scrn perf rec interval |
109 |
94 |
$0.00 |
| 99072 |
|
16 |
12 |
$0.00 |
| G8419 |
Calc bmi out nrm param nof/u |
47 |
38 |
$0.00 |
| 1036F |
|
102 |
90 |
$0.00 |