Reyes, Aguedita

Reyes, Aguedita was paid $760.50 by Medicaid between Jan 2021 and Jan 2021, across 4 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 54% of everything it billed.

Box 24A · Dates of service

Paid by month

Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider

By year, as a table

Year	Claims	Paid
2021	51	$760.50

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
92004	Ophthalmological services: medical examination and evaluation, comprehensive, new patient	54%	13	13	$409.50
92015	Determination of refractive state	46%	13	13	$351.00
V2744	Tint, photochromatic, per lens	0%	12	12	$0.00
V2025	Deluxe frame	0%	13	13	$0.00

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.