EYE SEE VISION CARE, LLC
NPI: 1831563683
· MANCHESTER, NH 03101
· 152W00000X
$538K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
2,998 |
$114K |
| 2019 |
4,615 |
$144K |
| 2020 |
5,863 |
$159K |
| 2021 |
3,746 |
$121K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
|
1,457 |
1,362 |
$136K |
| 92340 |
|
2,371 |
2,155 |
$135K |
| 92004 |
|
1,459 |
1,369 |
$120K |
| 92015 |
|
3,335 |
3,064 |
$67K |
| V2020 |
Vision svcs frames purchases |
2,886 |
2,634 |
$24K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
1,289 |
1,191 |
$17K |
| V2784 |
Lens polycarb or equal |
1,736 |
1,531 |
$8K |
| 92341 |
|
143 |
138 |
$7K |
| V2100 |
Lens spher single plano 4.00 |
646 |
566 |
$7K |
| V2025 |
Eyeglasses delux frames |
137 |
128 |
$6K |
| V2755 |
Uv lens/es |
1,048 |
978 |
$6K |
| V2203 |
Lens sphcyl bifocal 4.00d/.1 |
87 |
84 |
$2K |
| 92250 |
|
119 |
94 |
$1K |
| V2750 |
Anti-reflective coating |
316 |
296 |
$1K |
| V2104 |
Spherocylindr 4.00d/2.12-4d |
16 |
15 |
$195.75 |
| V2756 |
Eye glass case |
72 |
59 |
$20.78 |
| V2744 |
Tint photochromatic lens/es |
15 |
14 |
$0.00 |
| V2702 |
Deluxe lens feature |
14 |
12 |
$0.00 |
| V2745 |
Tint, any color/solid/grad |
76 |
68 |
$0.00 |