NPI: 1023101342 · OXFORD, MS 38655 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 2,562 | $73K |
| 2019 | 2,529 | $84K |
| 2020 | 1,787 | $63K |
| 2021 | 2,197 | $68K |
| 2022 | 1,518 | $46K |
| 2023 | 462 | $13K |
| 2024 | 403 | $11K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 1,534 | 1,409 | $119K | |
| V2020 | Vision svcs frames purchases | 2,428 | 2,186 | $63K |
| V2100 | Lens spher single plano 4.00 | 1,260 | 1,192 | $48K |
| 92015 | 1,643 | 1,477 | $32K | |
| 92004 | 311 | 275 | $31K | |
| 92012 | 671 | 521 | $28K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 753 | 595 | $13K |
| V2784 | Lens polycarb or equal | 1,819 | 1,670 | $12K |
| 92250 | 173 | 141 | $5K | |
| 92340 | 441 | 413 | $4K | |
| 92083 | 74 | 57 | $2K | |
| S0621 | Routine ophthalmological exa | 15 | 15 | $595.70 |
| 92133 | 38 | 27 | $461.28 | |
| 92134 | 13 | 12 | $227.64 | |
| V2702 | Deluxe lens feature | 36 | 36 | $17.10 |
| 2026F | 35 | 35 | $0.00 | |
| 3072F | 214 | 204 | $0.00 |