| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
|
8,586 |
8,441 |
$345K |
| 99214 |
|
3,515 |
3,410 |
$221K |
| V2020 |
Vision svcs frames purchases |
10,085 |
9,877 |
$140K |
| V2100 |
Lens spher single plano 4.00 |
5,188 |
5,032 |
$110K |
| 92340 |
|
4,673 |
4,585 |
$100K |
| 99204 |
|
931 |
910 |
$77K |
| 92004 |
|
1,823 |
1,791 |
$74K |
| 99213 |
|
1,564 |
1,519 |
$62K |
| 92250 |
|
2,849 |
2,780 |
$60K |
| 92015 |
|
6,978 |
6,656 |
$54K |
| V2784 |
Lens polycarb or equal |
5,401 |
4,902 |
$43K |
| 92341 |
|
664 |
652 |
$17K |
| 92083 |
|
640 |
627 |
$15K |
| 92134 |
|
1,116 |
1,092 |
$14K |
| V2200 |
Lens spher bifoc plano 4.00d |
429 |
420 |
$13K |
| 92133 |
|
323 |
311 |
$4K |
| V2520 |
Contact lens hydrophilic |
30 |
27 |
$2K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
156 |
121 |
$830.04 |
| V2203 |
Lens sphcyl bifocal 4.00d/.1 |
13 |
12 |
$77.34 |
| 3072F |
|
1,339 |
1,237 |
$0.03 |
| 1036F |
|
1,734 |
1,601 |
$0.00 |
| G9903 |
Pt scrn tbco id as non user |
1,718 |
1,588 |
$0.00 |
| G9902 |
Pt scrn tbco and id as user |
273 |
259 |
$0.00 |
| G8397 |
Dil macula/fundus exam/w doc |
64 |
63 |
$0.00 |
| G9906 |
Pt recv tbco cess interv |
46 |
42 |
$0.00 |
| 99058 |
|
98 |
95 |
$0.00 |
| G8427 |
Docrev cur meds by elig clin |
2,221 |
2,051 |
$0.00 |
| G8785 |
Bp scrn no perf at interval |
1,198 |
1,161 |
$0.00 |
| 4004F |
|
60 |
56 |
$0.00 |
| 5010F |
|
39 |
38 |
$0.00 |
| 2022F |
|
65 |
58 |
$0.00 |
| G9905 |
No pt tbco scrn rng |
14 |
14 |
$0.00 |