| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92015 |
|
4,488 |
4,037 |
$146K |
| 92014 |
|
1,800 |
1,623 |
$136K |
| 92004 |
|
1,063 |
974 |
$104K |
| 92012 |
|
1,002 |
964 |
$67K |
| V2020 |
Frames, purchases |
1,670 |
1,484 |
$49K |
| 92340 |
|
2,133 |
1,928 |
$37K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
573 |
543 |
$19K |
| 92002 |
|
249 |
246 |
$15K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
209 |
195 |
$5K |
| 92250 |
|
129 |
126 |
$3K |
| 92083 |
|
13 |
12 |
$440.21 |
| 99213 |
|
12 |
12 |
$193.39 |
| 92341 |
|
12 |
12 |
$161.67 |
| G8428 |
Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given |
113 |
102 |
$0.00 |
| G8732 |
No documentation of pain assessment, reason not given |
96 |
86 |
$0.00 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
103 |
85 |
$0.00 |
| 3072F |
|
40 |
39 |
$0.00 |
| V2410 |
Variable asphericity lens, single vision, full field, glass or plastic, per lens |
43 |
39 |
$0.00 |