TOTAL CARE PLLC

$7.68M

Total Medicaid Paid

147,447

Total Claims

139,228

Beneficiaries

44

Codes Billed

2021-02

First Month

2024-12

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
92004		13,147	12,595	$1.61M
92014		12,804	12,158	$1.30M
92012		8,156	7,619	$582K
93306		3,334	3,289	$576K
92060		10,807	10,414	$570K
93303		2,823	2,649	$491K
99244		2,958	2,895	$422K
92015		27,631	26,389	$378K
99243		2,536	2,518	$258K
V2025	Eyeglasses delux frames	5,412	5,265	$209K
V2784	Lens polycarb or equal	8,161	7,918	$161K
92285		9,443	8,829	$145K
99214		2,084	1,965	$145K
93320		2,825	2,649	$114K
V2100	Lens spher single plano 4.00	6,104	5,959	$98K
V2020	Vision svcs frames purchases	2,632	2,582	$68K
93325		3,237	2,981	$59K
92133		1,636	1,533	$58K
99213		1,136	1,101	$55K
92250		875	840	$51K
93000		3,954	3,895	$51K
99232		846	459	$46K
92201		2,265	1,011	$38K
V2750	Anti-reflective coating	1,920	1,855	$25K
V2799	Misc vision item or service	2,107	1,908	$24K
76825		101	82	$20K
92340		632	627	$19K
V2103	Spherocylindr 4.00d/12-2.00d	1,513	1,438	$18K
99254		119	115	$16K
92083		235	228	$13K
92202		1,085	757	$12K
V2104	Spherocylindr 4.00d/2.12-4d	902	881	$11K
92134		223	196	$8K
93227		451	422	$8K
76827		101	82	$6K
93225		358	333	$6K
V2744	Tint photochromatic lens/es	210	204	$5K
92002		50	40	$3K
99204		14	13	$2K
76514		193	178	$2K
93272		62	60	$1K
99072		1,333	1,277	$2.25
V2410	Lens variab asphericity sing	390	383	$0.00
T1013	Sign lang/oral interpreter	642	636	$0.00

Medicaid Provider Spending