| Code | Description | Claims | Beneficiaries | Total Paid |
| 92340 |
|
21,413 |
18,176 |
$600K |
| 92014 |
|
8,897 |
8,826 |
$387K |
| 92083 |
|
10,792 |
10,101 |
$290K |
| 99214 |
|
4,324 |
4,296 |
$223K |
| 92250 |
|
9,208 |
8,516 |
$208K |
| 92004 |
|
2,965 |
2,941 |
$200K |
| 92015 |
|
14,424 |
14,273 |
$178K |
| 99213 |
|
3,174 |
3,109 |
$122K |
| 99204 |
|
1,154 |
1,151 |
$114K |
| 92341 |
|
2,953 |
2,938 |
$102K |
| 92285 |
|
5,471 |
4,942 |
$61K |
| 99203 |
|
568 |
568 |
$45K |
| 92133 |
|
2,257 |
1,770 |
$27K |
| 92134 |
|
2,040 |
1,575 |
$24K |
| 66984 |
|
107 |
105 |
$20K |
| 92226 |
|
1,376 |
1,365 |
$19K |
| 92020 |
|
680 |
679 |
$8K |
| 92201 |
|
725 |
723 |
$7K |
| 76514 |
|
1,318 |
1,026 |
$6K |
| V2025 |
Eyeglasses delux frames |
331 |
273 |
$4K |
| V2020 |
Vision svcs frames purchases |
26 |
26 |
$3K |
| 76519 |
|
159 |
95 |
$2K |
| 92225 |
|
110 |
110 |
$2K |
| 92012 |
|
218 |
207 |
$2K |
| V2784 |
Lens polycarb or equal |
269 |
233 |
$973.80 |
| 92060 |
|
13 |
13 |
$439.34 |
| V2100 |
Lens spher single plano 4.00 |
32 |
26 |
$358.86 |
| G8427 |
Docrev cur meds by elig clin |
725 |
723 |
$0.00 |
| 1124F |
|
309 |
308 |
$0.00 |
| 2022F |
|
133 |
131 |
$0.00 |
| 2027F |
|
231 |
226 |
$0.00 |
| G9974 |
Mac exam perf |
49 |
49 |
$0.00 |
| M1225 |
Iop dec>=20% from base |
187 |
186 |
$0.00 |
| 5010F |
|
53 |
53 |
$0.00 |
| 0517F |
|
52 |
52 |
$0.00 |
| G8785 |
Bp scrn no perf at interval |
16 |
16 |
$0.00 |
| G9905 |
No pt tbco scrn rng |
16 |
16 |
$0.00 |
| G8783 |
Bp scrn perf rec interval |
46 |
46 |
$0.00 |
| M1223 |
Glaucoma plan of care doc |
190 |
189 |
$0.00 |
| 2023F |
|
185 |
185 |
$0.00 |
| G9903 |
Pt scrn tbco id as non user |
1,043 |
1,037 |
$0.00 |
| 1036F |
|
1,059 |
1,050 |
$0.00 |
| G8510 |
Scr dep neg, no plan reqd |
52 |
52 |
$0.00 |
| G8397 |
Dil macula/fundus exam/w doc |
120 |
119 |
$0.00 |
| V2744 |
Tint photochromatic lens/es |
13 |
13 |
$0.00 |
| G8734 |
Doc neg eld req |
32 |
32 |
$0.00 |