| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
|
5,292 |
4,358 |
$348K |
| V2020 |
Vision svcs frames purchases |
4,381 |
3,744 |
$120K |
| 92004 |
|
1,183 |
949 |
$104K |
| 92015 |
|
7,249 |
5,889 |
$79K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
2,559 |
2,224 |
$60K |
| 92340 |
|
4,895 |
3,892 |
$50K |
| V2784 |
Lens polycarb or equal |
2,407 |
2,032 |
$18K |
| V2100 |
Lens spher single plano 4.00 |
452 |
407 |
$13K |
| 92012 |
|
61 |
57 |
$3K |
| 92250 |
|
115 |
97 |
$1K |
| V2104 |
Spherocylindr 4.00d/2.12-4d |
29 |
28 |
$645.48 |
| 92133 |
|
37 |
37 |
$335.78 |
| 1036F |
|
1,254 |
1,127 |
$17.45 |
| G8427 |
Docrev cur meds by elig clin |
1,168 |
1,086 |
$0.02 |
| G9744 |
Pt not eli d/t act dig htn |
404 |
368 |
$0.00 |
| 2027F |
|
28 |
27 |
$0.00 |
| G8783 |
Bp scrn perf rec interval |
22 |
16 |
$0.00 |
| 3045F |
|
12 |
12 |
$0.00 |
| G9903 |
Pt scrn tbco id as non user |
926 |
830 |
$0.00 |
| G8952 |
Pre-htn/htn, no f/u, not gvn |
261 |
239 |
$0.00 |
| 3284F |
|
25 |
25 |
$0.00 |