NPI: 1053366096 · TULIA, TX 79088 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 296 | $11K |
| 2021 | 2,307 | $80K |
| 2022 | 2,638 | $87K |
| 2023 | 2,245 | $86K |
| 2024 | 1,442 | $63K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| S0621 | Routine ophthalmological exa | 1,983 | 1,834 | $112K |
| V2020 | Vision svcs frames purchases | 2,519 | 2,291 | $78K |
| S0620 | Routine ophthalmological exa | 1,407 | 1,350 | $77K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 1,710 | 1,541 | $33K |
| V2101 | Single visn sphere 4.12-7.00 | 702 | 620 | $14K |
| V2104 | Spherocylindr 4.00d/2.12-4d | 434 | 399 | $10K |
| V2102 | Singl visn sphere 7.12-20.00 | 95 | 90 | $2K |
| V2100 | Lens spher single plano 4.00 | 78 | 69 | $2K |