BALLANTYNE VISION CARE LLC
NPI: 1154994549
· LAMAR, CO 81052
· 152W00000X
$731K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
1,025 |
$37K |
| 2022 |
4,689 |
$206K |
| 2023 |
5,279 |
$269K |
| 2024 |
4,055 |
$219K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
|
1,993 |
1,867 |
$188K |
| V2025 |
Eyeglasses delux frames |
1,473 |
1,233 |
$131K |
| V2410 |
Lens variab asphericity sing |
849 |
690 |
$128K |
| 92004 |
|
738 |
693 |
$82K |
| V2784 |
Lens polycarb or equal |
1,605 |
1,314 |
$49K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
1,029 |
842 |
$45K |
| V2750 |
Anti-reflective coating |
1,556 |
1,279 |
$35K |
| 92340 |
|
1,687 |
1,398 |
$33K |
| 99213 |
|
195 |
163 |
$10K |
| V2100 |
Lens spher single plano 4.00 |
240 |
197 |
$7K |
| V2755 |
Uv lens/es |
478 |
404 |
$7K |
| V2020 |
Vision svcs frames purchases |
146 |
138 |
$5K |
| 92015 |
|
2,846 |
2,652 |
$4K |
| V2744 |
Tint photochromatic lens/es |
141 |
120 |
$3K |
| 99212 |
|
44 |
38 |
$1K |
| 92310 |
|
28 |
25 |
$1K |