EYE & COSMETIC SURGERY LLC

$881K

Total Medicaid Paid

62,308

Total Claims

50,780

Beneficiaries

45

Codes Billed

2018-01

First Month

2024-11

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
68761		5,016	4,408	$122K
65400		527	473	$101K
99214		4,298	3,268	$75K
68840		5,034	4,407	$71K
V2785	Corneal tissue processing	802	483	$64K
92134		7,744	6,462	$52K
92136		1,657	1,528	$50K
99244		279	279	$50K
67210		1,633	1,243	$46K
99213		7,295	5,258	$41K
99204		705	620	$30K
66984		143	137	$26K
92225		802	772	$21K
66250		197	185	$18K
92226		1,861	1,795	$17K
92015		2,828	2,657	$12K
92273		529	491	$10K
99212		2,234	1,763	$10K
68340		151	141	$10K
92285		3,208	2,577	$10K
67031		106	84	$6K
65855		198	136	$6K
65778		3,100	1,834	$5K
92145		849	793	$4K
92133		485	384	$4K
17110		57	50	$4K
92250		367	315	$3K
65222		314	299	$3K
66821		106	84	$3K
99211		2,650	1,377	$2K
99203		25	24	$2K
A4262	Temporary tear duct plug	4,167	3,681	$76.44
G8427	Docrev cur meds by elig clin	251	216	$0.00
V2203	Lens sphcyl bifocal 4.00d/.1	232	228	$0.00
92341		388	368	$0.00
V2020	Vision svcs frames purchases	453	446	$0.00
17106		30	27	$0.00
V2760	Scratch resistant coating	346	339	$0.00
5010F		15	14	$0.00
2022F		22	20	$0.00
G8430	Doc med rsn no medrec	467	399	$0.00
0356T		13	12	$0.00
1036F		219	214	$0.00
G9903	Pt scrn tbco id as non user	447	432	$0.00
M1207	Pt scrn sdoh	58	57	$0.00

Medicaid Provider Spending