| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
|
2,446 |
2,207 |
$122K |
| 92015 |
|
1,973 |
1,803 |
$76K |
| 92340 |
|
1,178 |
1,062 |
$33K |
| 92004 |
|
368 |
319 |
$24K |
| 99214 |
|
469 |
355 |
$10K |
| V2020 |
Vision svcs frames purchases |
695 |
585 |
$8K |
| 92250 |
|
364 |
328 |
$6K |
| V2100 |
Lens spher single plano 4.00 |
296 |
251 |
$5K |
| V2784 |
Lens polycarb or equal |
121 |
95 |
$5K |
| 2026F |
|
156 |
145 |
$20.00 |
| 2024F |
|
29 |
26 |
$10.00 |
| 4004F |
|
38 |
32 |
$0.00 |
| G8427 |
Docrev cur meds by elig clin |
3,819 |
3,218 |
$0.00 |
| G9905 |
No pt tbco scrn rng |
3,459 |
3,003 |
$0.00 |
| G9744 |
Pt not eli d/t act dig htn |
435 |
376 |
$0.00 |
| 5010F |
|
45 |
41 |
$0.00 |
| G8785 |
Bp scrn no perf at interval |
57 |
46 |
$0.00 |
| 2022F |
|
25 |
25 |
$0.00 |
| 2027F |
|
16 |
12 |
$0.00 |
| G8783 |
Bp scrn perf rec interval |
16 |
13 |
$0.00 |
| 1036F |
|
3,055 |
2,726 |
$0.00 |
| G8952 |
Pre-htn/htn, no f/u, not gvn |
118 |
105 |
$0.00 |
| G9903 |
Pt scrn tbco id as non user |
683 |
568 |
$0.00 |
| G9745 |
Doc rsn no hbp scrn or f/u |
177 |
150 |
$0.00 |
| G9902 |
Pt scrn tbco and id as user |
37 |
32 |
$0.00 |
| G8397 |
Dil macula/fundus exam/w doc |
45 |
41 |
$0.00 |