| Code | Description | Claims | Beneficiaries | Total Paid |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
1,281 |
731 |
$35K |
| 92341 |
|
867 |
739 |
$23K |
| 92015 |
Determination of refractive state |
1,855 |
1,522 |
$21K |
| V2020 |
Frames, purchases |
1,206 |
1,007 |
$12K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
641 |
544 |
$4K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
83 |
73 |
$4K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
89 |
47 |
$3K |
| 1036F |
|
1,011 |
544 |
$2K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
42 |
14 |
$1K |
| V2755 |
U-v lens, per lens |
583 |
523 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
941 |
504 |
$0.00 |
| G8785 |
Blood pressure reading not documented, reason not given |
876 |
462 |
$0.00 |