CUKROWSKI EYE CENTER, PC

$2.81M

Total Medicaid Paid

89,392

Total Claims

82,397

Beneficiaries

43

Codes Billed

2018-01

First Month

2024-12

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
92014		7,715	7,631	$382K
65778		713	481	$379K
99214		5,857	5,660	$322K
92004		3,735	3,728	$257K
99213		5,600	5,308	$192K
92083		6,689	6,649	$184K
66984		397	232	$120K
92015		10,521	10,443	$104K
83861		6,498	3,666	$88K
92250		4,769	4,740	$88K
92134		5,005	4,642	$81K
92012		2,098	2,072	$77K
92133		4,704	4,687	$76K
67028		1,841	1,512	$59K
65855		572	366	$58K
V2020	Vision svcs frames purchases	2,085	2,079	$57K
J0178	Aflibercept injection	59	50	$46K
99212		2,078	1,962	$43K
92235		568	561	$29K
S0620	Routine ophthalmological exa	541	540	$23K
83516		2,911	1,585	$23K
92340		1,269	1,266	$22K
99204		182	182	$18K
92136		652	523	$15K
92020		1,057	1,056	$14K
J9035	Bevacizumab injection	361	327	$13K
S0621	Routine ophthalmological exa	271	271	$9K
92132		604	601	$9K
92201		731	725	$6K
76514		833	830	$5K
92341		183	182	$4K
V2103	Spherocylindr 4.00d/12-2.00d	461	453	$4K
92225		94	87	$2K
V2100	Lens spher single plano 4.00	108	108	$904.04
V2203	Lens sphcyl bifocal 4.00d/.1	79	79	$802.64
J3590	Unclassified biologics	13	12	$545.20
V2200	Lens spher bifoc plano 4.00d	26	26	$257.06
2022F		2,798	2,734	$1.16
2023F		2,113	2,096	$1.07
3072F		1,096	1,086	$0.50
5010F		325	312	$0.00
G8397	Dil macula/fundus exam/w doc	305	292	$0.00
99024		875	555	$0.00

Medicaid Provider Spending