EYE FASHIONS OPTICAL SHOPPE INC
NPI: 1477624971
· GRAND RAPIDS, MN 55744
· 152W00000X
$401K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
2,306 |
$10K |
| 2019 |
2,261 |
$60K |
| 2020 |
1,255 |
$32K |
| 2021 |
1,967 |
$55K |
| 2022 |
2,194 |
$68K |
| 2023 |
2,841 |
$96K |
| 2024 |
2,301 |
$80K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
|
1,903 |
1,860 |
$137K |
| V2020 |
Vision svcs frames purchases |
2,353 |
2,296 |
$64K |
| 92004 |
|
618 |
599 |
$54K |
| 92340 |
|
2,122 |
2,063 |
$44K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
1,677 |
1,638 |
$40K |
| 92015 |
|
3,123 |
3,049 |
$35K |
| V2784 |
Lens polycarb or equal |
2,352 |
2,289 |
$16K |
| V2715 |
Prism lens/es |
816 |
792 |
$6K |
| 92341 |
|
121 |
119 |
$3K |
| V2203 |
Lens sphcyl bifocal 4.00d/.1 |
40 |
39 |
$972.03 |