| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
|
15,914 |
15,299 |
$937K |
| V2020 |
Vision svcs frames purchases |
24,378 |
23,181 |
$739K |
| 92004 |
|
8,522 |
8,154 |
$669K |
| V2784 |
Lens polycarb or equal |
12,903 |
12,179 |
$320K |
| 92015 |
|
32,344 |
30,768 |
$300K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
14,877 |
13,732 |
$292K |
| 92340 |
|
3,645 |
3,469 |
$170K |
| 92250 |
|
1,181 |
1,136 |
$75K |
| V2100 |
Lens spher single plano 4.00 |
2,437 |
2,292 |
$41K |
| 99214 |
|
733 |
685 |
$36K |
| 92002 |
|
594 |
563 |
$26K |
| V2203 |
Lens sphcyl bifocal 4.00d/.1 |
621 |
497 |
$23K |
| 99213 |
|
304 |
282 |
$10K |
| V2104 |
Spherocylindr 4.00d/2.12-4d |
390 |
372 |
$8K |
| 92341 |
|
87 |
86 |
$3K |
| V2755 |
Uv lens/es |
80 |
77 |
$1K |
| 92012 |
|
31 |
31 |
$1K |
| V2107 |
Spherocylinder 4.25d/12-2d |
38 |
38 |
$996.66 |
| 92225 |
|
68 |
37 |
$450.57 |
| 92226 |
|
77 |
37 |
$405.96 |
| G8427 |
Docrev cur meds by elig clin |
42 |
42 |
$0.00 |
| G8783 |
Bp scrn perf rec interval |
39 |
39 |
$0.00 |
| 1036F |
|
24 |
24 |
$0.00 |
| G8418 |
Calc bmi blw low param f/u |
26 |
26 |
$0.00 |