| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
|
47,746 |
29,144 |
$555K |
| 92004 |
|
21,042 |
12,973 |
$259K |
| 92012 |
|
24,237 |
14,926 |
$126K |
| 92015 |
|
67,154 |
41,187 |
$107K |
| V2025 |
Eyeglasses delux frames |
216 |
206 |
$6K |
| 99309 |
|
39 |
36 |
$2K |
| V2020 |
Vision svcs frames purchases |
62 |
62 |
$1K |
| V2755 |
Uv lens/es |
306 |
296 |
$1K |
| 92341 |
|
140 |
138 |
$666.01 |
| 1036F |
|
13,516 |
8,579 |
$225.06 |
| 4040F |
|
27,240 |
19,771 |
$214.75 |
| G8427 |
Docrev cur meds by elig clin |
68,499 |
44,343 |
$134.51 |
| 0517F |
|
9,820 |
6,581 |
$18.67 |
| 4004F |
|
4,041 |
2,841 |
$18.32 |
| G9908 |
No pt tbco cess interv rng |
22,227 |
13,251 |
$0.63 |
| G9903 |
Pt scrn tbco id as non user |
59,792 |
35,292 |
$0.00 |
| 2019F |
|
370 |
364 |
$0.00 |
| G9902 |
Pt scrn tbco and id as user |
13,605 |
8,071 |
$0.00 |
| 3072F |
|
11,366 |
7,390 |
$0.00 |
| 4177F |
|
3,303 |
2,161 |
$0.00 |
| G9906 |
Pt recv tbco cess interv |
7,027 |
3,983 |
$0.00 |
| 3284F |
|
15,867 |
10,942 |
$0.00 |
| G8397 |
Dil macula/fundus exam/w doc |
8,056 |
5,257 |
$0.00 |
| G8398 |
Dil macular/fundus not perfo |
3,333 |
2,123 |
$0.00 |
| 2023F |
|
4,423 |
2,977 |
$0.00 |
| G2103 |
7 stereo photos interpret |
231 |
140 |
$0.00 |
| 3285F |
|
324 |
205 |
$0.00 |
| V2200 |
Lens spher bifoc plano 4.00d |
14 |
14 |
$0.00 |
| G8482 |
Flu immunize order/admin |
47,600 |
30,946 |
$0.00 |
| 2027F |
|
9,664 |
6,382 |
$0.00 |
| 5010F |
|
12,112 |
7,627 |
$0.00 |
| G9974 |
Mac exam perf |
9,450 |
5,481 |
$0.00 |
| 2022F |
|
4,684 |
2,909 |
$0.00 |
| 2026F |
|
5,698 |
3,462 |
$0.00 |
| G9904 |
Doc med rsn no tbco scrn |
859 |
491 |
$0.00 |
| 2024F |
|
5,614 |
3,398 |
$0.00 |
| G2102 |
Dil retinal eye exam |
1,111 |
674 |
$0.00 |
| G2104 |
Eye img valid w/7 stereo |
232 |
143 |
$0.00 |