HUNG, MIA

$96K

Total Medicaid Paid

3,645

Total Claims

3,596

Beneficiaries

5

Codes Billed

2020-10

First Month

2024-11

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
S0620	Routine ophthalmological examination including refraction; new patient	785	780	$33K
V2020	Frames, purchases	1,626	1,595	$26K
S0621	Routine ophthalmological examination including refraction; established patient	483	482	$21K
V2103	Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens	658	648	$13K
V2104	Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens	93	91	$2K

Medicaid Provider Spending