| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
|
87,877 |
81,932 |
$4.65M |
| V5261 |
Hearing aid, digit, bin, bte |
2,456 |
1,409 |
$3.61M |
| 92012 |
|
57,961 |
51,006 |
$2.61M |
| 92004 |
|
38,756 |
36,672 |
$2.58M |
| 99204 |
|
18,453 |
14,870 |
$1.61M |
| 99213 |
|
32,855 |
26,230 |
$1.54M |
| 99214 |
|
16,535 |
13,401 |
$884K |
| 92083 |
|
23,018 |
19,832 |
$711K |
| 92015 |
|
81,139 |
76,542 |
$702K |
| 95004 |
|
4,515 |
3,643 |
$700K |
| 31231 |
|
3,939 |
3,156 |
$447K |
| 92133 |
|
22,657 |
19,064 |
$415K |
| 92250 |
|
16,163 |
13,926 |
$349K |
| V5160 |
Dispensing fee binaural |
1,886 |
1,352 |
$246K |
| 92134 |
|
13,995 |
11,703 |
$216K |
| 31575 |
|
2,614 |
2,110 |
$193K |
| 92273 |
|
3,195 |
2,496 |
$181K |
| 92202 |
|
21,747 |
18,066 |
$153K |
| 92557 |
|
9,453 |
7,259 |
$151K |
| 66984 |
|
663 |
533 |
$144K |
| 69210 |
|
6,463 |
4,736 |
$135K |
| 92340 |
|
7,460 |
7,313 |
$112K |
| 92587 |
|
9,343 |
7,084 |
$92K |
| 0509T |
|
2,151 |
1,830 |
$86K |
| 92020 |
|
5,636 |
4,793 |
$78K |
| 99212 |
|
2,452 |
2,100 |
$76K |
| 92002 |
|
1,458 |
1,345 |
$69K |
| V5011 |
Hearing aid fitting/checking |
2,032 |
1,458 |
$67K |
| 92225 |
|
3,128 |
1,804 |
$59K |
| 92025 |
|
3,414 |
2,817 |
$55K |
| 67028 |
|
1,489 |
1,076 |
$54K |
| 92226 |
|
4,188 |
2,378 |
$53K |
| 68761 |
|
1,161 |
429 |
$49K |
| 76514 |
|
6,583 |
5,508 |
$44K |
| J9035 |
Bevacizumab injection |
1,218 |
888 |
$40K |
| 92570 |
|
2,602 |
2,157 |
$39K |
| 92275 |
|
461 |
458 |
$36K |
| 92567 |
|
5,653 |
4,049 |
$35K |
| 92136 |
|
2,114 |
1,392 |
$33K |
| 99203 |
|
669 |
441 |
$31K |
| 92285 |
|
7,263 |
4,988 |
$30K |
| 92201 |
|
1,584 |
1,345 |
$17K |
| V5020 |
Conformity evaluation |
488 |
368 |
$14K |
| 92550 |
|
1,289 |
1,051 |
$14K |
| 95117 |
|
1,234 |
400 |
$11K |
| V2020 |
Vision svcs frames purchases |
33,051 |
32,797 |
$10K |
| 92593 |
|
344 |
303 |
$10K |
| 65778 |
|
20 |
13 |
$9K |
| 99202 |
|
193 |
188 |
$9K |
| V2100 |
Lens spher single plano 4.00 |
17,408 |
9,022 |
$9K |
| 92060 |
|
160 |
157 |
$6K |
| V5265 |
Ear mold/insert, disp |
120 |
87 |
$5K |
| V2784 |
Lens polycarb or equal |
41,265 |
20,736 |
$5K |
| 92145 |
|
770 |
608 |
$5K |
| 99211 |
|
208 |
199 |
$4K |
| 66982 |
|
22 |
13 |
$4K |
| 69436 |
|
38 |
27 |
$4K |
| 92235 |
|
59 |
42 |
$3K |
| 92568 |
|
643 |
391 |
$3K |
| 92504 |
|
151 |
126 |
$2K |
| 69421 |
|
45 |
25 |
$2K |
| V5266 |
Battery for hearing device |
22 |
18 |
$1K |
| 92588 |
|
46 |
46 |
$826.71 |
| V2755 |
Uv lens/es |
42 |
42 |
$592.80 |
| V2520 |
Contact lens hydrophilic |
93 |
93 |
$500.00 |
| V5267 |
Hearing aid sup/access/dev |
66 |
38 |
$435.00 |
| V2200 |
Lens spher bifoc plano 4.00d |
1,074 |
554 |
$338.00 |
| 92081 |
|
14 |
14 |
$254.74 |
| G2211 |
Complex e/m visit add on |
93 |
63 |
$186.39 |
| V2203 |
Lens sphcyl bifocal 4.00d/.1 |
6,779 |
3,408 |
$116.00 |
| 99058 |
|
15 |
15 |
$63.12 |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
27,150 |
13,574 |
$41.00 |
| V2744 |
Tint photochromatic lens/es |
6,295 |
3,148 |
$0.00 |
| V2781 |
Progressive lens per lens |
3,716 |
1,858 |
$0.00 |
| V2782 |
Lens, 1.54-1.65 p/1.60-1.79g |
512 |
256 |
$0.00 |
| V2104 |
Spherocylindr 4.00d/2.12-4d |
4,347 |
2,169 |
$0.00 |
| V2299 |
Lens bifocal speciality |
2,808 |
1,398 |
$0.00 |
| A4262 |
Temporary tear duct plug |
93 |
75 |
$0.00 |
| S0620 |
Routine ophthalmological exa |
51 |
51 |
$0.00 |
| V2799 |
Misc vision item or service |
234 |
117 |
$0.00 |
| V2101 |
Single visn sphere 4.12-7.00 |
52 |
25 |
$0.00 |
| V2107 |
Spherocylinder 4.25d/12-2d |
3,190 |
1,582 |
$0.00 |
| V2750 |
Anti-reflective coating |
25,432 |
12,716 |
$0.00 |
| S0621 |
Routine ophthalmological exa |
77 |
77 |
$0.00 |
| V2760 |
Scratch resistant coating |
250 |
125 |
$0.00 |