SOUND VISION CARE, INC.

$3.81M

Total Medicaid Paid

152,707

Total Claims

132,325

Beneficiaries

42

Codes Billed

2018-01

First Month

2024-12

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
76512		14,144	8,534	$880K
92250		16,951	15,480	$629K
92082		9,090	9,020	$349K
99214		5,962	5,431	$318K
92285		16,811	15,271	$315K
92060		6,839	6,724	$198K
92132		9,742	9,349	$186K
92014		4,022	3,975	$176K
99204		1,652	1,646	$130K
V2100	Lens spher single plano 4.00	6,946	3,469	$119K
92134		7,074	6,643	$88K
92004		962	952	$66K
92286		4,055	3,785	$57K
92025		8,141	7,289	$45K
V2020	Vision svcs frames purchases	4,692	4,588	$44K
92012		1,297	1,197	$43K
92133		1,621	1,519	$25K
92015		5,173	5,076	$23K
76514		7,295	6,787	$22K
99213		527	496	$19K
92340		1,185	1,147	$16K
92225		608	592	$13K
92145		2,390	2,133	$11K
92226		858	845	$11K
92284		461	454	$7K
92020		1,114	1,093	$7K
V2103	Spherocylindr 4.00d/12-2.00d	248	121	$3K
V2784	Lens polycarb or equal	7,624	3,788	$2K
92341		77	74	$1K
92273		178	175	$918.60
V2200	Lens spher bifoc plano 4.00d	26	13	$777.96
92283		210	201	$465.20
92201		18	18	$105.74
G8427	Docrev cur meds by elig clin	1,347	1,270	$0.00
G8730	Pain doc pos and plan	391	380	$0.00
G8783	Bp scrn perf rec interval	835	774	$0.00
G8731	Pain neg no plan	745	693	$0.00
G9744	Pt not eli d/t act dig htn	250	247	$0.00
4004F		147	139	$0.00
G9903	Pt scrn tbco id as non user	744	709	$0.00
1036F		222	197	$0.00
G9902	Pt scrn tbco and id as user	33	31	$0.00

Medicaid Provider Spending