| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
|
6,234 |
5,655 |
$537K |
| 92004 |
|
1,634 |
1,440 |
$131K |
| 92012 |
|
2,500 |
2,380 |
$113K |
| V2020 |
Vision svcs frames purchases |
1,616 |
1,562 |
$32K |
| 92015 |
|
7,807 |
7,439 |
$24K |
| 2023F |
|
699 |
691 |
$6K |
| 3072F |
|
1,631 |
1,564 |
$4K |
| 2022F |
|
567 |
563 |
$3K |
| V2203 |
Lens sphcyl bifocal 4.00d/.1 |
269 |
226 |
$3K |
| 92341 |
|
1,012 |
981 |
$1K |
| 2024F |
|
421 |
386 |
$976.87 |
| 4040F |
|
6,826 |
6,468 |
$740.25 |
| V2200 |
Lens spher bifoc plano 4.00d |
60 |
55 |
$660.00 |
| V2100 |
Lens spher single plano 4.00 |
13 |
13 |
$463.50 |
| 92340 |
|
94 |
94 |
$304.50 |
| 0517F |
|
574 |
517 |
$133.09 |
| V2755 |
Uv lens/es |
1,304 |
1,277 |
$56.20 |
| G8427 |
Docrev cur meds by elig clin |
7,328 |
7,051 |
$0.00 |
| G8482 |
Flu immunize order/admin |
6,865 |
6,608 |
$0.00 |
| 5010F |
|
1,300 |
1,255 |
$0.00 |
| 2026F |
|
392 |
366 |
$0.00 |
| G9974 |
Mac exam perf |
1,030 |
991 |
$0.00 |
| 2027F |
|
514 |
460 |
$0.00 |
| G2102 |
Dil retinal eye exam |
171 |
170 |
$0.00 |
| 4004F |
|
12 |
12 |
$0.00 |
| G9903 |
Pt scrn tbco id as non user |
7,275 |
7,015 |
$0.00 |
| G8397 |
Dil macula/fundus exam/w doc |
1,278 |
1,233 |
$0.00 |
| 3284F |
|
1,978 |
1,904 |
$0.00 |
| G9908 |
No pt tbco cess interv rng |
3,128 |
3,068 |
$0.00 |
| G9906 |
Pt recv tbco cess interv |
698 |
690 |
$0.00 |
| 92342 |
|
12 |
12 |
$0.00 |
| 4177F |
|
208 |
193 |
$0.00 |
| G9902 |
Pt scrn tbco and id as user |
1,818 |
1,771 |
$0.00 |
| V2756 |
Eye glass case |
12 |
12 |
$0.00 |
| 3285F |
|
16 |
12 |
$0.00 |