| Code | Description | Claims | Beneficiaries | Total Paid |
| 92004 |
|
16,314 |
16,250 |
$396K |
| 92014 |
|
20,306 |
20,238 |
$386K |
| V2020 |
Vision svcs frames purchases |
11,935 |
11,870 |
$162K |
| 92341 |
|
7,561 |
7,523 |
$150K |
| 92015 |
|
26,601 |
26,503 |
$144K |
| 92340 |
|
3,303 |
3,282 |
$48K |
| 92273 |
|
704 |
494 |
$44K |
| 92012 |
|
2,578 |
2,570 |
$27K |
| 92002 |
|
881 |
875 |
$14K |
| 92250 |
|
714 |
714 |
$11K |
| 92020 |
|
242 |
242 |
$1K |
| 99309 |
|
21 |
21 |
$314.60 |
| G8785 |
Bp scrn no perf at interval |
1,283 |
1,278 |
$0.00 |
| G8484 |
Flu immunize no admin |
3,317 |
3,307 |
$0.00 |
| G8482 |
Flu immunize order/admin |
1,710 |
1,710 |
$0.00 |
| G8752 |
Sys bp less 140 |
2,614 |
2,608 |
$0.00 |
| G8427 |
Docrev cur meds by elig clin |
8,406 |
8,390 |
$0.00 |
| G8421 |
Bmi not calculated |
2,499 |
2,492 |
$0.00 |
| G8731 |
Pain neg no plan |
3,253 |
3,242 |
$0.00 |
| 2022F |
|
189 |
189 |
$0.00 |
| G9744 |
Pt not eli d/t act dig htn |
3,946 |
3,940 |
$0.00 |
| G8783 |
Bp scrn perf rec interval |
173 |
173 |
$0.00 |
| 4040F |
|
4,790 |
4,779 |
$0.00 |
| G9989 |
Med rsn no pneum vax |
527 |
527 |
$0.00 |
| 3046F |
|
3,045 |
3,033 |
$0.00 |
| G8417 |
Calc bmi abv up param f/u |
1,350 |
1,349 |
$0.00 |
| G9991 |
Pneum vax admin 19+ |
124 |
124 |
$0.00 |
| G8753 |
Sys bp > or = 140 |
92 |
92 |
$0.00 |
| G2102 |
Dil retinal eye exam |
26 |
26 |
$0.00 |
| M1168 |
Pt recd flu vax 7/1-6/30 |
81 |
81 |
$0.00 |
| 2027F |
|
28 |
28 |
$0.00 |
| M1170 |
Pt w/o flu vax 7/1-6/30 |
42 |
39 |
$0.00 |
| G9903 |
Pt scrn tbco id as non user |
2,752 |
2,751 |
$0.00 |
| 1123F |
|
7,435 |
7,422 |
$0.00 |
| 1036F |
|
5,387 |
5,376 |
$0.00 |
| G8536 |
No doc elder mal scrn |
1,028 |
1,027 |
$0.00 |
| G8754 |
Dias bp less 90 |
2,902 |
2,895 |
$0.00 |
| 3072F |
|
2,039 |
2,037 |
$0.00 |
| G8756 |
No bp measure doc |
1,167 |
1,163 |
$0.00 |
| M1208 |
Pt no scrn sdoh |
952 |
951 |
$0.00 |
| 3284F |
|
147 |
147 |
$0.00 |
| G8420 |
Calc bmi norm parameters |
752 |
749 |
$0.00 |
| G8428 |
Cur meds not document |
68 |
68 |
$0.00 |
| M1177 |
Pt recd pcv on/aft 19 |
54 |
54 |
$0.00 |
| 2023F |
|
151 |
151 |
$0.00 |
| G8732 |
No doc of pain |
19 |
19 |
$0.00 |
| G8950 |
Pre-htn or htn doc, f/u indc |
132 |
132 |
$0.00 |
| 99350 |
Prolong home eval add 15m |
12 |
12 |
$0.00 |
| G8755 |
Dias bp > or = 90 |
51 |
51 |
$0.00 |
| M1179 |
No pcv recd |
69 |
66 |
$0.00 |
| G8418 |
Calc bmi blw low param f/u |
13 |
13 |
$0.00 |