| Code | Description | Claims | Beneficiaries | Total Paid |
| S0621 |
Routine ophthalmological exa |
4,904 |
4,111 |
$365K |
| S0620 |
Routine ophthalmological exa |
2,886 |
2,382 |
$250K |
| 99214 |
|
1,945 |
1,456 |
$125K |
| 92340 |
|
6,564 |
5,584 |
$116K |
| 92370 |
|
7,405 |
6,237 |
$44K |
| 92083 |
|
364 |
305 |
$11K |
| 92250 |
|
816 |
693 |
$11K |
| 92341 |
|
460 |
397 |
$10K |
| 92273 |
|
66 |
50 |
$3K |
| 92134 |
|
49 |
49 |
$822.33 |
| 92012 |
|
170 |
146 |
$605.04 |
| 92020 |
|
79 |
71 |
$595.70 |
| 92133 |
|
25 |
24 |
$525.92 |
| 92275 |
|
15 |
14 |
$386.09 |
| 92014 |
|
24 |
24 |
$354.92 |
| 3072F |
|
196 |
84 |
$22.96 |
| G8427 |
Docrev cur meds by elig clin |
6,339 |
5,580 |
$0.03 |
| 2022F |
|
66 |
55 |
$0.02 |
| G9903 |
Pt scrn tbco id as non user |
6,504 |
5,828 |
$0.00 |
| 1036F |
|
6,871 |
6,161 |
$0.00 |
| 3044F |
|
102 |
81 |
$0.00 |
| G8952 |
Pre-htn/htn, no f/u, not gvn |
54 |
50 |
$0.00 |
| G8397 |
Dil macula/fundus exam/w doc |
79 |
68 |
$0.00 |
| G9902 |
Pt scrn tbco and id as user |
246 |
213 |
$0.00 |
| G9906 |
Pt recv tbco cess interv |
60 |
53 |
$0.00 |
| G8785 |
Bp scrn no perf at interval |
1,194 |
1,029 |
$0.00 |
| G8783 |
Bp scrn perf rec interval |
662 |
558 |
$0.00 |
| G9744 |
Pt not eli d/t act dig htn |
393 |
339 |
$0.00 |
| 4004F |
|
110 |
98 |
$0.00 |
| G9905 |
No pt tbco scrn rng |
27 |
26 |
$0.00 |
| 5010F |
|
44 |
37 |
$0.00 |
| G2102 |
Dil retinal eye exam |
12 |
12 |
$0.00 |
| G0030 |
Pt scr tob & cess int |
35 |
28 |
$0.00 |