MONTAGUE, PAUL

$65K

Total Medicaid Paid

1,864

Total Claims

1,819

Beneficiaries

6

Codes Billed

2020-10

First Month

2024-12

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
92004	Ophthalmological services: medical examination and evaluation, comprehensive, new patient	716	693	$27K
92014	Ophthalmological services: medical examination and evaluation, comprehensive, established patient	711	704	$27K
92012	Ophthalmological services: medical examination and evaluation, intermediate, established patient	133	133	$5K
S0620	Routine ophthalmological examination including refraction; new patient	71	58	$2K
V2799	Vision item or service, miscellaneous	219	219	$2K
V2020	Frames, purchases	14	12	$1K

Medicaid Provider Spending