NPI: 1083181259 · CYPRESS, TX 77429 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 128 | $3K |
| 2021 | 991 | $24K |
| 2022 | 1,282 | $33K |
| 2023 | 1,123 | $28K |
| 2024 | 786 | $21K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| S0620 | Routine ophthalmological exa | 1,127 | 1,085 | $45K |
| S0621 | Routine ophthalmological exa | 487 | 472 | $19K |
| V2020 | Vision svcs frames purchases | 971 | 913 | $15K |
| V2100 | Lens spher single plano 4.00 | 578 | 553 | $12K |
| V2784 | Lens polycarb or equal | 828 | 786 | $10K |
| 92340 | 176 | 175 | $5K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 143 | 132 | $2K |