| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
|
4,150 |
3,693 |
$285K |
| 99203 |
|
1,470 |
1,348 |
$109K |
| 99213 |
|
2,376 |
1,962 |
$105K |
| V2020 |
Vision svcs frames purchases |
2,306 |
1,987 |
$89K |
| 92015 |
|
6,528 |
5,805 |
$72K |
| S0621 |
Routine ophthalmological exa |
892 |
782 |
$52K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
1,230 |
1,025 |
$32K |
| V2784 |
Lens polycarb or equal |
1,036 |
835 |
$28K |
| 92250 |
|
993 |
852 |
$25K |
| S0620 |
Routine ophthalmological exa |
261 |
240 |
$15K |
| 92133 |
|
491 |
419 |
$11K |
| 92014 |
|
190 |
156 |
$7K |
| V2100 |
Lens spher single plano 4.00 |
305 |
253 |
$6K |
| 92065 |
|
183 |
56 |
$5K |
| 92060 |
|
75 |
65 |
$3K |
| S0500 |
Dispos cont lens |
16 |
16 |
$2K |
| V2203 |
Lens sphcyl bifocal 4.00d/.1 |
28 |
28 |
$1K |
| 99212 |
|
58 |
54 |
$725.99 |
| V2104 |
Spherocylindr 4.00d/2.12-4d |
13 |
12 |
$331.33 |
| 99309 |
|
13 |
12 |
$266.38 |
| G9903 |
Pt scrn tbco id as non user |
746 |
649 |
$0.00 |
| G8428 |
Cur meds not document |
301 |
250 |
$0.00 |
| 1036F |
|
964 |
785 |
$0.00 |
| G8397 |
Dil macula/fundus exam/w doc |
23 |
18 |
$0.00 |
| G8950 |
Pre-htn or htn doc, f/u indc |
13 |
13 |
$0.00 |
| G8427 |
Docrev cur meds by elig clin |
1,459 |
1,149 |
$0.00 |
| G9744 |
Pt not eli d/t act dig htn |
186 |
163 |
$0.00 |
| G8731 |
Pain neg no plan |
1,514 |
1,250 |
$0.00 |
| G8783 |
Bp scrn perf rec interval |
842 |
626 |
$0.00 |
| 2027F |
|
33 |
25 |
$0.00 |
| 5010F |
|
23 |
18 |
$0.00 |
| 2022F |
|
22 |
17 |
$0.00 |
| G8442 |
Doc pain as nt perf, not elg |
30 |
27 |
$0.00 |