NPI: 1003866096 · FRIENDSWOOD, TX 77546 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 368 | $8K |
| 2021 | 1,382 | $32K |
| 2022 | 1,600 | $36K |
| 2023 | 1,364 | $32K |
| 2024 | 712 | $16K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| S0621 | Routine ophthalmological exa | 968 | 957 | $41K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 1,409 | 1,376 | $28K |
| V2020 | Vision svcs frames purchases | 1,597 | 1,545 | $24K |
| S0620 | Routine ophthalmological exa | 466 | 458 | $19K |
| V2784 | Lens polycarb or equal | 565 | 560 | $7K |
| V2100 | Lens spher single plano 4.00 | 140 | 140 | $3K |
| 92340 | 84 | 81 | $2K | |
| V2025 | Eyeglasses delux frames | 25 | 25 | $810.78 |
| 2022F | 135 | 133 | $0.00 | |
| 92015 | 37 | 37 | $0.00 |