| Code | Description | Claims | Beneficiaries | Total Paid |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
21,668 |
21,205 |
$561K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
15,949 |
15,891 |
$389K |
| V2020 |
Frames, purchases |
23,064 |
22,906 |
$331K |
| 92341 |
|
11,816 |
11,751 |
$265K |
| 92015 |
Determination of refractive state |
39,299 |
39,157 |
$209K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
10,675 |
10,584 |
$151K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
18,564 |
18,542 |
$96K |
| 92250 |
|
7,074 |
6,642 |
$50K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
1,131 |
1,130 |
$27K |
| 92225 |
|
1,113 |
559 |
$8K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
275 |
275 |
$1K |
| 92226 |
|
394 |
263 |
$1K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
23 |
23 |
$1K |
| 92202 |
|
161 |
161 |
$1K |
| V2744 |
Tint, photochromatic, per lens |
13 |
13 |
$459.53 |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
13 |
13 |
$432.38 |
| 92002 |
|
13 |
13 |
$412.01 |
| 92201 |
|
50 |
50 |
$113.69 |