| Code | Description | Claims | Beneficiaries | Total Paid |
| 92015 |
Determination of refractive state |
2,880 |
2,708 |
$51K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,860 |
1,730 |
$47K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
558 |
527 |
$19K |
| 92250 |
|
344 |
334 |
$8K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
151 |
150 |
$4K |
| 92226 |
|
170 |
88 |
$841.21 |
| 99310 |
Prolong nursin fac eval 15m |
227 |
225 |
$96.15 |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
12 |
12 |
$23.40 |
| 92202 |
|
15 |
14 |
$0.00 |