| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
|
4,253 |
4,167 |
$262K |
| V2020 |
Vision svcs frames purchases |
7,892 |
7,805 |
$241K |
| 92004 |
|
3,134 |
3,088 |
$237K |
| 92340 |
|
6,972 |
6,882 |
$134K |
| 92060 |
|
4,008 |
3,945 |
$129K |
| 92082 |
|
4,082 |
3,992 |
$93K |
| 92015 |
|
7,574 |
7,442 |
$82K |
| 92341 |
|
1,905 |
1,876 |
$42K |
| 92250 |
|
1,798 |
1,742 |
$38K |
| 92285 |
|
2,498 |
2,415 |
$25K |
| S0620 |
Routine ophthalmological exa |
268 |
268 |
$12K |
| 99213 |
|
193 |
184 |
$7K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
834 |
501 |
$6K |
| S0621 |
Routine ophthalmological exa |
112 |
111 |
$5K |
| 92083 |
|
95 |
94 |
$3K |
| 92225 |
|
154 |
78 |
$2K |
| 92081 |
|
85 |
85 |
$2K |
| 92286 |
|
72 |
71 |
$1K |
| 99214 |
|
17 |
17 |
$1K |
| V2100 |
Lens spher single plano 4.00 |
121 |
77 |
$724.90 |
| 92133 |
|
24 |
24 |
$399.36 |
| G8427 |
Docrev cur meds by elig clin |
2,545 |
2,506 |
$0.00 |
| G9905 |
No pt tbco scrn rng |
1,542 |
1,492 |
$0.00 |
| G8785 |
Bp scrn no perf at interval |
908 |
869 |
$0.00 |
| 99072 |
|
560 |
545 |
$0.00 |
| G2104 |
Eye img valid w/7 stereo |
18 |
16 |
$0.00 |
| V2750 |
Anti-reflective coating |
13 |
13 |
$0.00 |
| 2026F |
|
81 |
81 |
$0.00 |
| G9903 |
Pt scrn tbco id as non user |
2,574 |
2,548 |
$0.00 |
| 1036F |
|
2,719 |
2,687 |
$0.00 |
| G9902 |
Pt scrn tbco and id as user |
760 |
749 |
$0.00 |
| V2755 |
Uv lens/es |
50 |
50 |
$0.00 |