NPI: 1003068800 · EL PASO, TX 79907 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 199 | $3K |
| 2021 | 1,578 | $26K |
| 2022 | 1,892 | $28K |
| 2023 | 1,941 | $32K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| S0620 | Routine ophthalmological exa | 1,458 | 1,394 | $58K |
| 3072F | 1,889 | 1,808 | $18K | |
| S0621 | Routine ophthalmological exa | 277 | 272 | $11K |
| V2784 | Lens polycarb or equal | 21 | 21 | $634.90 |
| V2750 | Anti-reflective coating | 21 | 21 | $522.92 |
| V2103 | Spherocylindr 4.00d/12-2.00d | 25 | 25 | $447.16 |
| V2020 | Vision svcs frames purchases | 25 | 25 | $345.33 |
| 92015 | 1,894 | 1,809 | $0.00 |