CRYSTAL VISION OPTOMETRY GROUP
NPI: 1932536869
· RANCHO CUCAMONGA, CA 91739
· 152W00000X
$131K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
12 |
$95.16 |
| 2019 |
737 |
$16K |
| 2020 |
984 |
$21K |
| 2021 |
971 |
$22K |
| 2022 |
570 |
$12K |
| 2023 |
752 |
$18K |
| 2024 |
1,649 |
$43K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
|
1,228 |
1,223 |
$51K |
| 92014 |
|
604 |
598 |
$23K |
| 92015 |
|
2,136 |
2,118 |
$17K |
| V2020 |
Vision svcs frames purchases |
781 |
778 |
$16K |
| 92340 |
|
645 |
637 |
$13K |
| 99214 |
|
269 |
243 |
$10K |
| 92341 |
|
12 |
12 |
$377.76 |