| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92012 |
|
64,617 |
46,586 |
$355K |
| 92004 |
|
11,263 |
8,276 |
$114K |
| 92014 |
|
18,054 |
13,415 |
$113K |
| 76512 |
|
9,105 |
3,246 |
$49K |
| 92250 |
|
5,581 |
4,182 |
$10K |
| 92134 |
|
3,791 |
2,937 |
$5K |
| 99309 |
|
2,152 |
1,814 |
$3K |
| 92100 |
|
825 |
579 |
$2K |
| 92133 |
|
1,677 |
1,281 |
$2K |
| V2200 |
Lens spher bifoc plano 4.00d |
261 |
260 |
$1K |
| 92132 |
|
1,160 |
848 |
$846.63 |
| 99308 |
|
856 |
779 |
$844.40 |
| 92285 |
|
1,331 |
1,092 |
$741.90 |
| 5010F |
|
3,955 |
3,221 |
$608.11 |
| V2025 |
Eyeglasses delux frames |
357 |
352 |
$238.00 |
| G9903 |
Pt scrn tbco id as non user |
61,504 |
47,011 |
$198.79 |
| 99310 |
Prolong nursin fac eval 15m |
60 |
49 |
$191.62 |
| 76514 |
|
341 |
261 |
$167.09 |
| 1036F |
|
74,633 |
60,208 |
$60.00 |
| V2020 |
Vision svcs frames purchases |
29 |
29 |
$9.50 |
| G8397 |
Dil macula/fundus exam/w doc |
7,900 |
6,626 |
$0.00 |
| G8756 |
No bp measure doc |
8,240 |
6,530 |
$0.00 |
| G9745 |
Doc rsn no hbp scrn or f/u |
2,120 |
1,474 |
$0.00 |
| 3284F |
|
3,908 |
3,479 |
$0.00 |
| G8428 |
Cur meds not document |
207 |
196 |
$0.00 |
| 3285F |
|
52 |
48 |
$0.00 |
| G9902 |
Pt scrn tbco and id as user |
33 |
25 |
$0.00 |
| M1223 |
Glaucoma plan of care doc |
24 |
15 |
$0.00 |
| G8754 |
Dias bp less 90 |
21 |
16 |
$0.00 |
| 2023F |
|
42 |
30 |
$0.00 |
| 4177F |
|
112 |
110 |
$0.00 |
| 99335 |
|
17 |
16 |
$0.00 |
| G8398 |
Dil macular/fundus not perfo |
12 |
12 |
$0.00 |
| 2022F |
|
12,177 |
10,045 |
$0.00 |
| G8785 |
Bp scrn no perf at interval |
53,589 |
42,304 |
$0.00 |
| G8427 |
Docrev cur meds by elig clin |
16,657 |
14,864 |
$0.00 |
| G9744 |
Pt not eli d/t act dig htn |
18,183 |
15,169 |
$0.00 |
| G9974 |
Mac exam perf |
5,128 |
4,023 |
$0.00 |
| G9905 |
No pt tbco scrn rng |
24,988 |
18,696 |
$0.00 |
| M1225 |
Iop dec>=20% from base |
700 |
503 |
$0.00 |
| 2027F |
|
517 |
464 |
$0.00 |
| G2102 |
Dil retinal eye exam |
1,397 |
1,126 |
$0.00 |
| G8783 |
Bp scrn perf rec interval |
170 |
162 |
$0.00 |
| 99336 |
|
88 |
84 |
$0.00 |
| M1224 |
Iop dec <20% from base |
351 |
265 |
$0.00 |
| 0517F |
|
52 |
48 |
$0.00 |
| G8752 |
Sys bp less 140 |
21 |
16 |
$0.00 |
| 99307 |
|
22 |
20 |
$0.00 |