CITY OF VISION OPTOMETRY, PC
NPI: 1770136269
· RIO RANCHO, NM 87124
· 152W00000X
$174K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
387 |
$10K |
| 2023 |
1,183 |
$80K |
| 2024 |
1,065 |
$84K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
|
689 |
688 |
$103K |
| 92250 |
|
605 |
605 |
$25K |
| 92014 |
|
176 |
176 |
$20K |
| 99204 |
|
67 |
67 |
$10K |
| 99213 |
|
61 |
61 |
$6K |
| 92015 |
|
916 |
915 |
$6K |
| 92340 |
|
41 |
41 |
$2K |
| V2020 |
Vision svcs frames purchases |
65 |
65 |
$1K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
15 |
15 |
$145.92 |