| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
|
5,151 |
4,948 |
$489K |
| 92004 |
|
2,139 |
2,052 |
$243K |
| 92250 |
|
3,416 |
3,280 |
$161K |
| V2020 |
Vision svcs frames purchases |
3,719 |
3,166 |
$155K |
| V2784 |
Lens polycarb or equal |
6,917 |
3,148 |
$100K |
| 92340 |
|
3,962 |
3,356 |
$74K |
| V2750 |
Anti-reflective coating |
4,409 |
2,839 |
$62K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
2,263 |
1,245 |
$60K |
| V2410 |
Lens variab asphericity sing |
486 |
198 |
$14K |
| 99213 |
|
255 |
231 |
$14K |
| 92015 |
|
9,548 |
9,141 |
$13K |
| 99072 |
|
14 |
14 |
$2.60 |
| G9903 |
Pt scrn tbco id as non user |
8,225 |
7,704 |
$0.01 |
| G8427 |
Docrev cur meds by elig clin |
8,910 |
8,343 |
$0.00 |
| G8783 |
Bp scrn perf rec interval |
377 |
354 |
$0.00 |
| G8417 |
Calc bmi abv up param f/u |
54 |
53 |
$0.00 |
| G8420 |
Calc bmi norm parameters |
359 |
345 |
$0.00 |
| 1036F |
|
8,744 |
8,167 |
$0.00 |
| G8418 |
Calc bmi blw low param f/u |
529 |
513 |
$0.00 |
| G8950 |
Pre-htn or htn doc, f/u indc |
63 |
61 |
$0.00 |
| G8952 |
Pre-htn/htn, no f/u, not gvn |
41 |
40 |
$0.00 |
| G9902 |
Pt scrn tbco and id as user |
14 |
12 |
$0.00 |