HASHEMI, SAIED

$99K

Total Medicaid Paid

2,280

Total Claims

2,268

Beneficiaries

5

Codes Billed

2020-10

First Month

2021-12

Last Month

Year	Claims	Total Paid
2020	345	$14K
2021	1,935	$84K

Code	Description	Claims	Beneficiaries	Total Paid
S0621	Routine ophthalmological examination including refraction; established patient	1,122	1,117	$46K
92014	Ophthalmological services: medical examination and evaluation, comprehensive, established patient	406	405	$24K
S0620	Routine ophthalmological examination including refraction; new patient	505	501	$21K
92004	Ophthalmological services: medical examination and evaluation, comprehensive, new patient	82	81	$6K
92015	Determination of refractive state	165	164	$2K

Medicaid Provider Spending