| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
|
4,764 |
4,527 |
$187K |
| 92250 |
|
7,134 |
6,871 |
$148K |
| 92340 |
|
6,734 |
6,489 |
$137K |
| 92004 |
|
3,213 |
3,086 |
$135K |
| 92341 |
|
3,076 |
2,915 |
$69K |
| V2020 |
Vision svcs frames purchases |
5,616 |
5,344 |
$65K |
| V2784 |
Lens polycarb or equal |
1,523 |
1,397 |
$28K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
468 |
452 |
$17K |
| 92015 |
|
3,239 |
3,042 |
$17K |
| 99213 |
|
389 |
369 |
$15K |
| V2203 |
Lens sphcyl bifocal 4.00d/.1 |
205 |
193 |
$15K |
| 92083 |
|
455 |
431 |
$11K |
| V2100 |
Lens spher single plano 4.00 |
213 |
153 |
$5K |
| 92133 |
|
234 |
216 |
$3K |
| 92310 |
|
47 |
47 |
$3K |
| V2200 |
Lens spher bifoc plano 4.00d |
19 |
19 |
$726.30 |
| 76514 |
|
75 |
72 |
$556.42 |
| V2520 |
Contact lens hydrophilic |
13 |
13 |
$484.00 |
| V2780 |
Oversize lens/es |
15 |
14 |
$270.00 |
| 2026F |
|
1,180 |
1,115 |
$1.00 |
| 2022F |
|
361 |
331 |
$1.00 |
| G2104 |
Eye img valid w/7 stereo |
31 |
27 |
$0.76 |
| G8952 |
Pre-htn/htn, no f/u, not gvn |
1,061 |
1,006 |
$0.56 |
| G8785 |
Bp scrn no perf at interval |
2,067 |
1,926 |
$0.56 |
| G9902 |
Pt scrn tbco and id as user |
3,800 |
3,642 |
$0.00 |
| 1036F |
|
8,022 |
7,743 |
$0.00 |
| G9903 |
Pt scrn tbco id as non user |
7,020 |
6,784 |
$0.00 |
| G8397 |
Dil macula/fundus exam/w doc |
358 |
334 |
$0.00 |
| 3072F |
|
54 |
50 |
$0.00 |
| G9905 |
No pt tbco scrn rng |
1,343 |
1,248 |
$0.00 |
| G8427 |
Docrev cur meds by elig clin |
36 |
33 |
$0.00 |
| 5010F |
|
341 |
322 |
$0.00 |
| G8783 |
Bp scrn perf rec interval |
56 |
51 |
$0.00 |