| Code | Description | Claims | Beneficiaries | Total Paid |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
7,086 |
4,961 |
$43K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
12,353 |
9,218 |
$32K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
3,788 |
2,748 |
$30K |
| 92015 |
Determination of refractive state |
6,492 |
4,487 |
$15K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
91 |
91 |
$3K |
| 99336 |
|
29 |
29 |
$1K |
| V2755 |
U-v lens, per lens |
12 |
12 |
$0.00 |
| V2745 |
Addition to lens; tint, any color, solid, gradient or equal, excludes photochromatic, any lens material, per lens |
12 |
12 |
$0.00 |
| G2102 |
Dilated retinal eye exam with interpretation by an ophthalmologist or optometrist documented and reviewed |
29 |
22 |
$0.00 |