| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
|
35,059 |
32,972 |
$292K |
| 92250 |
|
18,720 |
17,367 |
$144K |
| 92004 |
|
15,171 |
14,226 |
$111K |
| V2020 |
Vision svcs frames purchases |
8,868 |
8,828 |
$42K |
| 99308 |
|
678 |
674 |
$22K |
| 99309 |
|
21,873 |
20,601 |
$16K |
| V2200 |
Lens spher bifoc plano 4.00d |
4,195 |
2,465 |
$12K |
| 92015 |
|
8,686 |
8,064 |
$11K |
| V2100 |
Lens spher single plano 4.00 |
2,613 |
1,498 |
$5K |
| 92341 |
|
734 |
692 |
$5K |
| V2784 |
Lens polycarb or equal |
181 |
172 |
$3K |
| 92340 |
|
441 |
406 |
$3K |
| 92012 |
|
6,470 |
6,179 |
$2K |
| V2203 |
Lens sphcyl bifocal 4.00d/.1 |
143 |
114 |
$2K |
| 68761 |
|
502 |
469 |
$2K |
| 92273 |
|
823 |
751 |
$1K |
| 99310 |
Prolong nursin fac eval 15m |
686 |
652 |
$397.74 |
| 92275 |
|
155 |
155 |
$118.00 |
| 92060 |
|
999 |
911 |
$87.11 |
| 3072F |
|
2,821 |
2,498 |
$25.01 |
| 1036F |
|
31,250 |
29,036 |
$25.00 |
| 92020 |
|
77 |
76 |
$16.00 |
| 76514 |
|
13 |
13 |
$13.35 |
| G8427 |
Docrev cur meds by elig clin |
24,308 |
22,258 |
$3.00 |
| G9744 |
Pt not eli d/t act dig htn |
21,601 |
19,845 |
$2.00 |
| G9903 |
Pt scrn tbco id as non user |
33,530 |
30,907 |
$0.00 |
| G8397 |
Dil macula/fundus exam/w doc |
947 |
857 |
$0.00 |
| 4177F |
|
2,405 |
2,072 |
$0.00 |
| 2022F |
|
4,532 |
4,117 |
$0.00 |
| G8785 |
Bp scrn no perf at interval |
4,362 |
3,906 |
$0.00 |
| G9974 |
Mac exam perf |
2,436 |
2,096 |
$0.00 |
| 5010F |
|
1,025 |
934 |
$0.00 |
| 99336 |
|
87 |
86 |
$0.00 |
| S0621 |
Routine ophthalmological exa |
15 |
15 |
$0.00 |
| 99326 |
|
15 |
15 |
$0.00 |
| 2027F |
|
277 |
173 |
$0.00 |
| 0517F |
|
135 |
128 |
$0.00 |