| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 66984 |
|
2,669 |
2,103 |
$721K |
| 92015 |
|
25,605 |
23,917 |
$353K |
| 92004 |
|
8,283 |
7,878 |
$347K |
| 92014 |
|
9,006 |
8,362 |
$326K |
| 99204 |
|
3,864 |
3,632 |
$256K |
| 99213 |
|
6,263 |
5,720 |
$207K |
| 99214 |
|
3,617 |
3,425 |
$178K |
| 92340 |
|
8,514 |
8,249 |
$168K |
| 92136 |
|
6,589 |
5,056 |
$68K |
| 00142 |
|
1,464 |
1,196 |
$56K |
| V2020 |
Vision svcs frames purchases |
3,163 |
3,025 |
$42K |
| 92341 |
|
2,108 |
1,946 |
$42K |
| 99203 |
|
488 |
477 |
$25K |
| 92083 |
|
1,155 |
1,075 |
$21K |
| 92012 |
|
656 |
618 |
$19K |
| 92060 |
|
945 |
876 |
$17K |
| 92133 |
|
1,171 |
1,077 |
$12K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
550 |
521 |
$8K |
| 00140 |
|
146 |
138 |
$8K |
| 67311 |
|
13 |
13 |
$7K |
| V2100 |
Lens spher single plano 4.00 |
300 |
291 |
$5K |
| V2203 |
Lens sphcyl bifocal 4.00d/.1 |
260 |
230 |
$4K |
| V2784 |
Lens polycarb or equal |
498 |
483 |
$3K |
| 66821 |
|
29 |
27 |
$3K |
| 83516 |
|
425 |
148 |
$3K |
| 92310 |
|
37 |
36 |
$2K |
| 83861 |
|
310 |
95 |
$2K |
| 68761 |
|
44 |
12 |
$2K |
| V2200 |
Lens spher bifoc plano 4.00d |
39 |
39 |
$1K |
| 76514 |
|
201 |
187 |
$1K |
| 92285 |
|
137 |
100 |
$1K |
| 92250 |
|
50 |
43 |
$930.74 |
| 92134 |
|
63 |
57 |
$627.10 |
| 99307 |
|
81 |
76 |
$416.53 |
| 92020 |
|
45 |
44 |
$385.46 |
| 99335 |
|
31 |
31 |
$272.30 |
| V2107 |
Spherocylinder 4.25d/12-2d |
15 |
15 |
$222.16 |
| V2207 |
Lens sphcy bifocal 4.25-7d/. |
14 |
14 |
$161.12 |
| 99334 |
|
13 |
12 |
$24.62 |
| G8785 |
Bp scrn no perf at interval |
6,188 |
5,640 |
$0.00 |
| G8427 |
Docrev cur meds by elig clin |
9,865 |
9,092 |
$0.00 |
| 2027F |
|
536 |
476 |
$0.00 |
| 4040F |
|
4,312 |
3,892 |
$0.00 |
| G8482 |
Flu immunize order/admin |
1,721 |
1,548 |
$0.00 |
| 0517F |
|
909 |
810 |
$0.00 |
| G9744 |
Pt not eli d/t act dig htn |
1,690 |
1,450 |
$0.00 |
| 4004F |
|
132 |
126 |
$0.00 |
| G9903 |
Pt scrn tbco id as non user |
5,784 |
5,299 |
$0.00 |
| 1036F |
|
7,746 |
7,068 |
$0.00 |
| G8756 |
No bp measure doc |
1,691 |
1,451 |
$0.00 |
| G8428 |
Cur meds not document |
651 |
561 |
$0.00 |
| 3284F |
|
198 |
178 |
$0.00 |
| G9902 |
Pt scrn tbco and id as user |
1,290 |
1,174 |
$0.00 |
| G9906 |
Pt recv tbco cess interv |
132 |
126 |
$0.00 |
| V2744 |
Tint photochromatic lens/es |
13 |
13 |
$0.00 |