| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
|
5,886 |
5,483 |
$462K |
| 92004 |
|
2,838 |
2,610 |
$266K |
| V2020 |
Vision svcs frames purchases |
6,615 |
6,044 |
$187K |
| 92015 |
|
8,871 |
8,198 |
$174K |
| 92340 |
|
6,152 |
5,675 |
$128K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
3,363 |
3,071 |
$92K |
| V2784 |
Lens polycarb or equal |
3,700 |
3,332 |
$18K |
| 92250 |
|
235 |
224 |
$5K |
| 99213 |
|
117 |
103 |
$5K |
| 92341 |
|
187 |
157 |
$4K |
| V2203 |
Lens sphcyl bifocal 4.00d/.1 |
95 |
68 |
$3K |
| V2100 |
Lens spher single plano 4.00 |
45 |
41 |
$2K |
| 92012 |
|
19 |
19 |
$1K |
| V2104 |
Spherocylindr 4.00d/2.12-4d |
30 |
29 |
$1K |
| 1036F |
|
5,956 |
4,856 |
$137.74 |
| 2026F |
|
32 |
25 |
$0.04 |
| G9905 |
No pt tbco scrn rng |
2,442 |
1,836 |
$0.00 |
| G8427 |
Docrev cur meds by elig clin |
1,074 |
822 |
$0.00 |
| G8783 |
Bp scrn perf rec interval |
637 |
535 |
$0.00 |
| G9744 |
Pt not eli d/t act dig htn |
243 |
162 |
$0.00 |
| 2022F |
|
117 |
115 |
$0.00 |
| 5010F |
|
45 |
38 |
$0.00 |
| G8952 |
Pre-htn/htn, no f/u, not gvn |
916 |
840 |
$0.00 |
| G9903 |
Pt scrn tbco id as non user |
2,854 |
2,398 |
$0.00 |
| 3072F |
|
38 |
38 |
$0.00 |
| G8397 |
Dil macula/fundus exam/w doc |
87 |
80 |
$0.00 |