| Code | Description | Claims | Beneficiaries | Total Paid |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
3,676 |
3,592 |
$96K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,509 |
1,489 |
$60K |
| 92015 |
Determination of refractive state |
6,812 |
6,555 |
$29K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
310 |
307 |
$17K |
| 92002 |
|
513 |
501 |
$14K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
13 |
13 |
$520.00 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
15 |
15 |
$73.30 |
| 99307 |
|
26 |
26 |
$46.58 |