| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
|
7,149 |
7,112 |
$376K |
| 99214 |
|
2,982 |
2,892 |
$225K |
| 92004 |
|
4,601 |
4,586 |
$220K |
| V2020 |
Vision svcs frames purchases |
7,239 |
7,074 |
$154K |
| 92273 |
|
1,464 |
1,445 |
$110K |
| 99213 |
|
1,917 |
1,856 |
$106K |
| V2100 |
Lens spher single plano 4.00 |
2,671 |
1,767 |
$87K |
| 67028 |
|
1,195 |
984 |
$85K |
| 95930 |
|
1,016 |
1,003 |
$73K |
| 99204 |
|
700 |
694 |
$72K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
3,384 |
1,669 |
$70K |
| 92083 |
|
1,527 |
1,514 |
$61K |
| 92012 |
|
1,073 |
1,031 |
$60K |
| 92134 |
|
2,560 |
2,545 |
$58K |
| 92133 |
|
1,746 |
1,742 |
$40K |
| 66984 |
|
92 |
67 |
$34K |
| J9035 |
Bevacizumab injection |
373 |
308 |
$24K |
| 99203 |
|
266 |
266 |
$21K |
| 92250 |
|
439 |
437 |
$11K |
| 92275 |
|
116 |
116 |
$11K |
| 92015 |
|
9,219 |
9,142 |
$11K |
| 66821 |
|
60 |
54 |
$11K |
| 92020 |
|
606 |
604 |
$10K |
| V2203 |
Lens sphcyl bifocal 4.00d/.1 |
282 |
141 |
$8K |
| 76519 |
|
255 |
211 |
$7K |
| V2784 |
Lens polycarb or equal |
10,455 |
5,206 |
$6K |
| 92340 |
|
319 |
318 |
$5K |
| 92136 |
|
181 |
130 |
$4K |
| S0621 |
Routine ophthalmological exa |
108 |
107 |
$3K |
| S0620 |
Routine ophthalmological exa |
81 |
81 |
$2K |
| V2200 |
Lens spher bifoc plano 4.00d |
49 |
31 |
$2K |
| 65855 |
|
14 |
12 |
$2K |
| 68761 |
|
13 |
13 |
$2K |
| 92226 |
|
80 |
56 |
$1K |
| 76514 |
|
128 |
126 |
$889.71 |
| 99212 |
|
38 |
34 |
$812.73 |
| V2104 |
Spherocylindr 4.00d/2.12-4d |
24 |
12 |
$492.96 |
| 2024F |
|
46 |
44 |
$110.00 |
| 2022F |
|
59 |
57 |
$110.00 |
| 2026F |
|
32 |
30 |
$85.00 |
| 92285 |
|
12 |
12 |
$40.81 |
| G8482 |
Flu immunize order/admin |
5,036 |
4,860 |
$14.10 |
| 4040F |
|
5,036 |
5,002 |
$9.37 |
| 4004F |
|
880 |
871 |
$0.01 |
| G8427 |
Docrev cur meds by elig clin |
11,581 |
11,386 |
$0.00 |
| G9974 |
Mac exam perf |
31 |
28 |
$0.00 |
| 0517F |
|
13 |
13 |
$0.00 |
| G8428 |
Cur meds not document |
4,536 |
4,370 |
$0.00 |
| 1036F |
|
5,626 |
5,585 |
$0.00 |
| G8397 |
Dil macula/fundus exam/w doc |
191 |
184 |
$0.00 |
| 3072F |
|
16 |
14 |
$0.00 |