BOEKE, STEVEN

$14K

Total Medicaid Paid

362

Total Claims

352

Beneficiaries

Codes Billed

2018-01

First Month

2018-07

Last Month

Year	Claims	Total Paid
2018	362	$14K

Code	Description	Claims	Beneficiaries	Total Paid
92014	Ophthalmological services: medical examination and evaluation, comprehensive, established patient	109	107	$6K
V2020	Frames, purchases	147	143	$3K
92004	Ophthalmological services: medical examination and evaluation, comprehensive, new patient	19	19	$2K
V2103	Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens	58	56	$1K
92012	Ophthalmological services: medical examination and evaluation, intermediate, established patient	29	27	$1K

Medicaid Provider Spending