RAO, SANJAY

$718K

Total Medicaid Paid

9,976

Total Claims

8,997

Beneficiaries

20

Codes Billed

2018-01

First Month

2024-12

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
66984	Extracapsular cataract removal with insertion of intraocular lens prosthesis	436	399	$315K
92014	Ophthalmological services: medical examination and evaluation, comprehensive, established patient	4,219	3,891	$154K
92250		2,002	1,848	$71K
92004	Ophthalmological services: medical examination and evaluation, comprehensive, new patient	968	935	$49K
67028	Intravitreal injection of a pharmacologic agent	209	143	$49K
99214	Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	577	510	$20K
J9035	Injection, bevacizumab, 10 mg	210	143	$13K
V2100	Sphere, single vision, plano to plus or minus 4.00, per lens	195	149	$10K
92012	Ophthalmological services: medical examination and evaluation, intermediate, established patient	312	279	$8K
92136		144	99	$7K
99204	Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	124	103	$7K
S0620	Routine ophthalmological examination including refraction; new patient	94	93	$4K
92083		124	114	$4K
66821		14	13	$3K
V2025	Deluxe frame	186	141	$2K
S0621	Routine ophthalmological examination including refraction; established patient	39	39	$2K
92015	Determination of refractive state	31	28	$560.93
V2750	Anti-reflective coating, per lens	35	25	$0.00
V2760	Scratch resistant coating, per lens	42	31	$0.00
V2784	Lens, polycarbonate or equal, any index, per lens	15	14	$0.00

Medicaid Provider Spending