SYSTEM OPTICS LLC

$275K

Total Medicaid Paid

11,390

Total Claims

10,326

Beneficiaries

23

Codes Billed

2018-01

First Month

2022-08

Last Month

Authorized Official	BEYER, TODD (PRESIDENT)
NPI Enumeration Date	06/19/2006

Provider	City	State	Total Paid
SYSTEM OPTICS LLC	TALLMADGE	OH	$10K

Code	Description	Claims	Beneficiaries	Total Paid
99214	Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	955	885	$33K
92015	Determination of refractive state	2,243	2,056	$32K
99213	Office or other outpatient visit for the evaluation and management of an established patient, low complexity	1,264	1,032	$31K
92014	Ophthalmological services: medical examination and evaluation, comprehensive, established patient	817	764	$28K
93886		361	323	$25K
93892		361	323	$22K
V2784	Lens, polycarbonate or equal, any index, per lens	775	731	$21K
93890		363	323	$20K
V2020	Frames, purchases	777	731	$12K
92340	Fitting of spectacles, except for aphakia; monofocal	540	527	$11K
92012	Ophthalmological services: medical examination and evaluation, intermediate, established patient	602	536	$11K
92083		538	484	$7K
92134		723	634	$6K
92004	Ophthalmological services: medical examination and evaluation, comprehensive, new patient	92	87	$4K
99204	Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	75	65	$4K
V2103	Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens	318	293	$3K
92133		230	214	$2K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	100	85	$2K
92341		50	50	$997.89
92202		117	110	$616.39
92226		46	37	$468.50
92002		13	12	$293.60
V2100	Sphere, single vision, plano to plus or minus 4.00, per lens	30	24	$218.88

Medicaid Provider Spending