BUENA VISTA EYELAND INC
NPI: 1205829033
· SEBASTIAN, FL 32958
· 152W00000X
$119K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
684 |
$8K |
| 2019 |
1,956 |
$45K |
| 2020 |
588 |
$10K |
| 2021 |
3,086 |
$57K |
| 2022 |
381 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
|
940 |
753 |
$73K |
| 92004 |
|
484 |
378 |
$33K |
| V2020 |
Vision svcs frames purchases |
1,376 |
1,071 |
$5K |
| 92340 |
|
157 |
126 |
$3K |
| 3072F |
|
120 |
97 |
$3K |
| 92015 |
|
1,668 |
1,317 |
$2K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
710 |
551 |
$256.00 |
| V2100 |
Lens spher single plano 4.00 |
266 |
209 |
$183.00 |
| V2784 |
Lens polycarb or equal |
752 |
605 |
$100.00 |
| S9986 |
Not medically necessary svc |
222 |
187 |
$0.00 |