NPI: 1063684181 · FREDERICKSBURG, TX 78624 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 7,788 | $103K |
| 2019 | 9,344 | $137K |
| 2020 | 4,410 | $84K |
| 2021 | 4,360 | $79K |
| 2022 | 4,435 | $86K |
| 2023 | 4,289 | $108K |
| 2024 | 5,267 | $112K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2025 | Eyeglasses delux frames | 2,345 | 2,339 | $137K |
| 92015 | 7,946 | 7,898 | $121K | |
| V2203 | Lens sphcyl bifocal 4.00d/.1 | 3,069 | 2,365 | $88K |
| S0620 | Routine ophthalmological exa | 1,407 | 1,403 | $83K |
| 92012 | 6,910 | 6,829 | $83K | |
| 92014 | 3,496 | 3,445 | $71K | |
| 92004 | 2,103 | 2,022 | $47K | |
| 92250 | 4,132 | 3,906 | $40K | |
| 92020 | 3,969 | 3,911 | $14K | |
| 68801 | 682 | 678 | $8K | |
| 92273 | 857 | 851 | $6K | |
| 95930 | 351 | 332 | $5K | |
| 92275 | 147 | 138 | $3K | |
| V2020 | Vision svcs frames purchases | 48 | 48 | $2K |
| 99204 | 127 | 127 | $929.96 | |
| 99213 | 811 | 803 | $801.17 | |
| 99214 | 331 | 331 | $734.43 | |
| 92283 | 277 | 273 | $171.75 | |
| 92134 | 13 | 12 | $63.24 | |
| 92133 | 13 | 13 | $62.26 | |
| 65222 | 13 | 13 | $52.39 | |
| G2211 | Complex e/m visit add on | 846 | 846 | $32.02 |