| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99307 |
|
2,174 |
1,534 |
$7K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
1,408 |
911 |
$3K |
| 11721 |
|
5,683 |
3,929 |
$3K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
577 |
407 |
$2K |
| 99304 |
|
981 |
673 |
$2K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
278 |
203 |
$995.68 |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
307 |
219 |
$330.31 |
| 92202 |
|
165 |
115 |
$1.18 |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
300 |
162 |
$0.00 |
| 92015 |
Determination of refractive state |
33 |
27 |
$0.00 |