LIAO, PEGGY

$968K

Total Medicaid Paid

21,823

Total Claims

21,065

Beneficiaries

20

Codes Billed

2018-01

First Month

2024-12

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
92014	Ophthalmological services: medical examination and evaluation, comprehensive, established patient	5,992	5,713	$390K
92060		3,973	3,901	$181K
92004	Ophthalmological services: medical examination and evaluation, comprehensive, new patient	1,389	1,309	$119K
92015	Determination of refractive state	5,202	5,017	$67K
V2020	Frames, purchases	874	856	$58K
V2784	Lens, polycarbonate or equal, any index, per lens	1,059	1,034	$56K
99244	Office or other outpatient consultation, moderate to high complexity	235	234	$30K
92340	Fitting of spectacles, except for aphakia; monofocal	476	475	$18K
99222	Initial hospital care, per day, moderate complexity	193	164	$18K
V2100	Sphere, single vision, plano to plus or minus 4.00, per lens	352	346	$10K
V2103	Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens	166	164	$10K
92012	Ophthalmological services: medical examination and evaluation, intermediate, established patient	161	158	$8K
V2756	Eye glass case	844	842	$1K
99232	Subsequent hospital care, per day, moderate complexity	23	14	$1K
92250		24	19	$952.02
92201		45	34	$945.27
99213	Office or other outpatient visit for the evaluation and management of an established patient, low complexity	17	15	$527.12
99072		13	13	$210.96
V2025	Deluxe frame	159	159	$0.00
S9999	Sales tax	626	598	$0.00

Medicaid Provider Spending