| Code | Description | Claims | Beneficiaries | Total Paid |
| 68761 |
|
1,290 |
366 |
$33K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
245 |
230 |
$10K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
305 |
304 |
$1K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
80 |
78 |
$950.71 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
227 |
221 |
$886.30 |
| 92015 |
Determination of refractive state |
55 |
49 |
$694.86 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
21 |
14 |
$54.78 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
14 |
14 |
$1.60 |