| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
|
14,898 |
12,832 |
$301K |
| D5110 |
|
763 |
716 |
$292K |
| D5120 |
|
701 |
665 |
$275K |
| D1110 |
|
6,386 |
5,451 |
$226K |
| D0150 |
|
6,165 |
5,287 |
$156K |
| 11721 |
|
42,859 |
24,258 |
$154K |
| V2203 |
Lens sphcyl bifocal 4.00d/.1 |
3,150 |
2,476 |
$120K |
| 92015 |
|
8,959 |
6,445 |
$88K |
| V2020 |
Vision svcs frames purchases |
4,474 |
3,545 |
$63K |
| 92004 |
|
3,595 |
2,498 |
$61K |
| 11720 |
|
16,101 |
10,054 |
$52K |
| D4341 |
|
239 |
140 |
$49K |
| 92014 |
|
4,015 |
2,541 |
$48K |
| 92012 |
|
2,342 |
1,654 |
$33K |
| G0127 |
Trim nail(s) |
12,585 |
6,779 |
$27K |
| 92557 |
|
7,695 |
5,308 |
$24K |
| D0140 |
|
653 |
547 |
$21K |
| V5241 |
Dispensing fee, monaural |
185 |
148 |
$20K |
| 92002 |
|
1,215 |
838 |
$16K |
| D0170 |
|
829 |
740 |
$14K |
| V5060 |
Behind ear hearing aid |
43 |
39 |
$14K |
| 69210 |
|
1,939 |
929 |
$14K |
| 99307 |
|
4,177 |
2,030 |
$12K |
| 11719 |
|
6,491 |
4,483 |
$9K |
| D0210 |
|
198 |
156 |
$8K |
| 92567 |
|
7,080 |
5,012 |
$7K |
| V2204 |
Lens sphcy bifocal 4.00d/2.1 |
250 |
194 |
$7K |
| 99309 |
|
784 |
387 |
$6K |
| 92250 |
|
605 |
463 |
$6K |
| D4355 |
|
73 |
62 |
$5K |
| 11055 |
|
1,397 |
783 |
$5K |
| 11730 |
|
650 |
259 |
$4K |
| V2200 |
Lens spher bifoc plano 4.00d |
149 |
109 |
$4K |
| 99308 |
|
1,587 |
653 |
$4K |
| 99304 |
|
661 |
304 |
$3K |
| D0230 |
|
421 |
73 |
$3K |
| 92556 |
|
1,289 |
882 |
$3K |
| V5050 |
Hearing aid monaural in ear |
14 |
13 |
$3K |
| 92552 |
|
702 |
526 |
$2K |
| V5264 |
Ear mold/insert |
35 |
28 |
$945.00 |
| 11056 |
|
302 |
161 |
$885.27 |
| D0220 |
|
115 |
90 |
$861.25 |
| 97597 |
|
258 |
93 |
$833.33 |
| V5266 |
Battery for hearing device |
71 |
71 |
$710.00 |
| 11740 |
|
74 |
46 |
$350.66 |
| 99334 |
|
37 |
29 |
$350.63 |
| 99324 |
|
107 |
41 |
$306.71 |
| 92550 |
|
163 |
64 |
$167.69 |
| 92553 |
|
198 |
99 |
$127.15 |
| 92555 |
|
110 |
73 |
$83.85 |
| G8405 |
Low extemity neur not perfor |
128 |
95 |
$0.00 |
| G0245 |
Initial foot exam pt lops |
66 |
45 |
$0.00 |
| 99305 |
|
42 |
12 |
$0.00 |
| G8404 |
Low extemity neur exam docum |
894 |
632 |
$0.00 |
| G0247 |
Routine footcare pt w lops |
194 |
155 |
$0.00 |
| D5411 |
|
78 |
59 |
$0.00 |
| G8415 |
Eval on foot not performed |
107 |
71 |
$0.00 |
| G0246 |
Followup eval of foot pt lop |
79 |
67 |
$0.00 |
| 92341 |
|
28 |
12 |
$0.00 |