JUSTUS, THOMAS

$28K

Total Medicaid Paid

555

Total Claims

528

Beneficiaries

5

Codes Billed

2018-01

First Month

2019-01

Last Month

Year	Claims	Total Paid
2018	509	$26K
2019	46	$2K

Code	Description	Claims	Beneficiaries	Total Paid
92340	Fitting of spectacles, except for aphakia; monofocal	319	305	$15K
S0621	Routine ophthalmological examination including refraction; established patient	127	118	$7K
92014	Ophthalmological services: medical examination and evaluation, comprehensive, established patient	73	71	$4K
92004	Ophthalmological services: medical examination and evaluation, comprehensive, new patient	18	18	$1K
S0620	Routine ophthalmological examination including refraction; new patient	18	16	$883.45

Medicaid Provider Spending