VISION EYELAND SUPER OPTICAL LLC
NPI: 1265623508
· FORT COLLINS, CO 80525
· 152W00000X
$322K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
10,060 |
$322K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
|
738 |
717 |
$73K |
| V2020 |
Vision svcs frames purchases |
1,821 |
1,079 |
$62K |
| V2410 |
Lens variab asphericity sing |
715 |
417 |
$44K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
951 |
583 |
$42K |
| 92340 |
|
1,805 |
1,068 |
$29K |
| V2784 |
Lens polycarb or equal |
1,905 |
1,117 |
$25K |
| 92004 |
|
181 |
171 |
$21K |
| 99214 |
|
121 |
116 |
$10K |
| 99204 |
|
74 |
71 |
$10K |
| V2100 |
Lens spher single plano 4.00 |
82 |
52 |
$4K |
| V2104 |
Spherocylindr 4.00d/2.12-4d |
20 |
13 |
$1K |
| 92012 |
|
13 |
12 |
$716.06 |
| 92015 |
|
1,634 |
1,576 |
$506.56 |