CRYSTAL VISION OPTICAL INC.
NPI: 1902983778
· TROY, MI 48083
· 152W00000X
$2.17M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
12,263 |
$369K |
| 2019 |
12,587 |
$364K |
| 2020 |
9,634 |
$281K |
| 2021 |
11,071 |
$326K |
| 2022 |
9,703 |
$300K |
| 2023 |
9,140 |
$286K |
| 2024 |
7,896 |
$249K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
|
11,177 |
11,085 |
$792K |
| 92340 |
|
19,435 |
17,113 |
$405K |
| 92004 |
|
4,809 |
4,747 |
$403K |
| 92015 |
|
18,727 |
18,603 |
$208K |
| V2020 |
Vision svcs frames purchases |
5,486 |
5,444 |
$158K |
| 99214 |
|
994 |
992 |
$68K |
| 92341 |
|
2,754 |
2,736 |
$63K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
2,635 |
2,447 |
$37K |
| V2100 |
Lens spher single plano 4.00 |
1,625 |
1,515 |
$19K |
| 99213 |
|
166 |
164 |
$7K |
| 92370 |
|
264 |
258 |
$5K |
| V2104 |
Spherocylindr 4.00d/2.12-4d |
173 |
153 |
$3K |
| S0620 |
Routine ophthalmological exa |
68 |
68 |
$3K |
| 92342 |
|
41 |
41 |
$1K |
| V2203 |
Lens sphcyl bifocal 4.00d/.1 |
38 |
38 |
$818.62 |
| S0621 |
Routine ophthalmological exa |
27 |
27 |
$393.04 |
| V2756 |
Eye glass case |
1,279 |
1,263 |
$256.50 |
| 2022F |
|
2,321 |
2,257 |
$0.19 |
| 3072F |
|
220 |
220 |
$0.00 |
| V2784 |
Lens polycarb or equal |
37 |
37 |
$0.00 |
| 2023F |
|
18 |
18 |
$0.00 |