NPI: 1134507965 · CLEVELAND, MS 38732 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 1,642 | $14K |
| 2021 | 1,950 | $36K |
| 2022 | 1,368 | $25K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92012 | 268 | 266 | $19K | |
| V2020 | Vision svcs frames purchases | 664 | 565 | $18K |
| 92340 | 600 | 511 | $12K | |
| 92015 | 843 | 707 | $11K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 268 | 232 | $7K |
| 92004 | 98 | 61 | $5K | |
| 92014 | 104 | 71 | $3K | |
| 1036F | 924 | 764 | $0.00 | |
| G9903 | Pt scrn tbco id as non user | 558 | 481 | $0.00 |
| V2784 | Lens polycarb or equal | 371 | 321 | $0.00 |
| G8427 | Docrev cur meds by elig clin | 29 | 26 | $0.00 |
| G9905 | No pt tbco scrn rng | 233 | 161 | $0.00 |