PACIFIC EYE INSTITUTE, A MEDICAL GROUP, INC.

$21.05M

Total Medicaid Paid

231,910

Total Claims

210,444

Beneficiaries

46

Codes Billed

2018-01

First Month

2024-11

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
67028		20,259	19,164	$5.46M
66984		7,211	6,071	$4.99M
J0178	Aflibercept injection	3,131	2,313	$3.38M
92014		45,602	44,534	$1.48M
92012		39,266	37,272	$1.13M
J9035	Bevacizumab injection	17,753	13,100	$983K
92134		39,511	37,718	$881K
66821		2,872	2,436	$461K
92004		7,495	7,479	$324K
66982		415	376	$324K
J2777	Inj, faricimab-svoa, 0.1mg	212	186	$258K
92083		8,933	8,753	$195K
99204		2,919	2,912	$192K
92136		4,495	3,915	$164K
92133		7,125	7,034	$157K
67228		537	508	$125K
68761		1,544	993	$107K
99214		2,856	2,743	$94K
65426		83	80	$64K
V2632	Post chmbr intraocular lens	945	811	$63K
92250		1,871	1,820	$56K
92025		2,126	2,111	$42K
92235		551	543	$35K
92020		1,524	1,501	$21K
92226		358	342	$20K
99213		877	835	$14K
92225		200	195	$13K
99203		70	69	$4K
92275		134	133	$4K
92002		111	110	$4K
99212		232	226	$4K
76514		437	433	$3K
J7312	Dexamethasone intra implant	25	25	$3K
92201		240	233	$2K
99205	Prolong outpt/office vis	25	25	$2K
65855		15	12	$1K
76512		14	14	$761.10
83861		48	24	$705.54
92081		20	20	$533.31
J7050	Normal saline solution infus	651	463	$410.05
92202		16	16	$111.81
0360		8,418	2,231	$0.00
J7030	Normal saline solution infus	352	285	$0.00
2022F		20	20	$0.00
99024		398	347	$0.00
3072F		13	13	$0.00

Medicaid Provider Spending