STURGIS, STEPHANIE

$194K

Total Medicaid Paid

6,791

Total Claims

6,300

Beneficiaries

21

Codes Billed

2021-09

First Month

2022-07

Last Month

Year	Claims	Total Paid
2021	3,898	$114K
2022	2,893	$81K

Code	Description	Claims	Beneficiaries	Total Paid
V2103	Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens	550	517	$26K
92015	Determination of refractive state	1,256	1,133	$25K
99214	Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	307	301	$21K
92014	Ophthalmological services: medical examination and evaluation, comprehensive, established patient	443	406	$19K
92004	Ophthalmological services: medical examination and evaluation, comprehensive, new patient	334	298	$19K
V2020	Frames, purchases	918	861	$17K
92340	Fitting of spectacles, except for aphakia; monofocal	845	785	$15K
99213	Office or other outpatient visit for the evaluation and management of an established patient, low complexity	262	241	$12K
99204	Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	102	97	$11K
S0580	Polycarbonate lens (list this code in addition to the basic code for the lens)	516	482	$9K
92370		874	812	$6K
V2203	Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens	43	42	$3K
V2104	Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens	63	57	$3K
92083		49	47	$2K
V2303	Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens	15	14	$1K
92012	Ophthalmological services: medical examination and evaluation, intermediate, established patient	43	43	$1K
92341		64	60	$1K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	31	31	$1K
92342		29	27	$577.79
92133		34	33	$557.62
92250		13	13	$431.80

Medicaid Provider Spending

Monthly Spending Trend

Yearly Breakdown

Billing Codes