CRYSTAL CLEAR VISION CORP.
NPI: 1932273026
· MIDDLETOWN, NY 10940
· 152W00000X
$440K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
3,015 |
$50K |
| 2019 |
4,535 |
$78K |
| 2020 |
3,227 |
$44K |
| 2021 |
4,137 |
$68K |
| 2022 |
4,691 |
$67K |
| 2023 |
5,416 |
$77K |
| 2024 |
3,722 |
$57K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92002 |
|
2,627 |
2,627 |
$78K |
| 92340 |
|
5,121 |
5,116 |
$73K |
| V2100 |
Lens spher single plano 4.00 |
3,167 |
1,780 |
$57K |
| V2020 |
Vision svcs frames purchases |
7,299 |
7,281 |
$54K |
| V2784 |
Lens polycarb or equal |
3,618 |
2,624 |
$34K |
| 92004 |
|
441 |
439 |
$32K |
| V2199 |
Lens single vision not oth c |
1,684 |
841 |
$31K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
2,737 |
2,707 |
$30K |
| 92250 |
|
442 |
440 |
$24K |
| 92012 |
|
353 |
353 |
$11K |
| 92341 |
|
318 |
318 |
$6K |
| 92202 |
|
330 |
329 |
$3K |
| 92225 |
|
103 |
102 |
$3K |
| V2200 |
Lens spher bifoc plano 4.00d |
75 |
38 |
$2K |
| 92286 |
|
40 |
40 |
$941.48 |
| 92083 |
|
15 |
15 |
$877.95 |
| 76514 |
|
103 |
103 |
$866.21 |
| 92025 |
|
59 |
59 |
$446.54 |
| V2203 |
Lens sphcyl bifocal 4.00d/.1 |
12 |
12 |
$276.00 |
| 92285 |
|
12 |
12 |
$235.64 |
| V2107 |
Spherocylinder 4.25d/12-2d |
13 |
13 |
$199.00 |
| V2104 |
Spherocylindr 4.00d/2.12-4d |
13 |
13 |
$155.64 |
| V2750 |
Anti-reflective coating |
161 |
81 |
$0.00 |