NPI: 1104923283 · AMARILLO, TX 79103 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 79 | $2K |
| 2020 | 668 | $21K |
| 2021 | 4,476 | $141K |
| 2022 | 1,781 | $58K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| S0621 | Routine ophthalmological exa | 1,192 | 1,167 | $75K |
| V2020 | Vision svcs frames purchases | 2,098 | 2,010 | $65K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 1,216 | 1,181 | $34K |
| S0620 | Routine ophthalmological exa | 299 | 292 | $18K |
| V2784 | Lens polycarb or equal | 1,586 | 1,555 | $14K |
| V2104 | Spherocylindr 4.00d/2.12-4d | 310 | 303 | $9K |
| V2100 | Lens spher single plano 4.00 | 303 | 295 | $8K |