| Code | Description | Claims | Beneficiaries | Total Paid |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
2,858 |
2,748 |
$87K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
3,962 |
3,649 |
$38K |
| 92341 |
|
1,323 |
1,315 |
$31K |
| 92015 |
Determination of refractive state |
1,298 |
1,286 |
$26K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,813 |
1,697 |
$26K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
942 |
894 |
$9K |
| 92250 |
|
448 |
430 |
$3K |