| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92012 |
|
13,825 |
13,202 |
$946K |
| 92060 |
|
17,199 |
16,984 |
$886K |
| 92004 |
|
6,992 |
6,929 |
$827K |
| 92014 |
|
8,601 |
8,464 |
$782K |
| 92015 |
|
13,655 |
13,547 |
$222K |
| 92250 |
|
2,821 |
2,800 |
$177K |
| 67311 |
|
304 |
164 |
$143K |
| S0621 |
Routine ophthalmological exa |
3,312 |
2,962 |
$124K |
| S0620 |
Routine ophthalmological exa |
2,462 |
2,204 |
$92K |
| V2020 |
Vision svcs frames purchases |
4,370 |
4,325 |
$91K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
4,052 |
2,363 |
$44K |
| 67028 |
|
617 |
560 |
$34K |
| V2104 |
Spherocylindr 4.00d/2.12-4d |
2,091 |
1,344 |
$22K |
| 92134 |
|
994 |
958 |
$18K |
| 67808 |
|
43 |
37 |
$12K |
| 92285 |
|
628 |
617 |
$11K |
| V2105 |
Spherocylinder 4.00d/4.25-6d |
279 |
184 |
$8K |
| J9035 |
Bevacizumab injection |
40 |
39 |
$3K |
| V2100 |
Lens spher single plano 4.00 |
147 |
101 |
$2K |
| V2203 |
Lens sphcyl bifocal 4.00d/.1 |
29 |
15 |
$480.21 |
| G0118 |
Glaucoma scrn hgh risk direc |
2,651 |
2,547 |
$0.00 |
| 2022F |
|
534 |
517 |
$0.00 |
| G0117 |
Glaucoma scrn hgh risk direc |
698 |
675 |
$0.00 |