| Code | Description | Claims | Beneficiaries | Total Paid |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,671 |
1,730 |
$21K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,980 |
2,727 |
$17K |
| 92341 |
|
1,396 |
1,104 |
$13K |
| 92370 |
|
1,727 |
1,336 |
$5K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
118 |
70 |
$1K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
469 |
285 |
$1K |
| 92250 |
|
526 |
413 |
$666.70 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
118 |
63 |
$530.70 |
| V2799 |
Vision item or service, miscellaneous |
631 |
622 |
$378.95 |
| 99307 |
|
172 |
91 |
$319.38 |
| 92002 |
|
29 |
15 |
$52.78 |