NPI: 1144533720 · ARLINGTON, TX 76011 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 478 | $11K |
| 2021 | 2,002 | $49K |
| 2022 | 2,530 | $81K |
| 2023 | 1,570 | $47K |
| 2024 | 1,035 | $33K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2020 | Vision svcs frames purchases | 2,696 | 2,599 | $64K |
| V2100 | Lens spher single plano 4.00 | 2,425 | 2,343 | $56K |
| S0621 | Routine ophthalmological exa | 956 | 926 | $47K |
| S0620 | Routine ophthalmological exa | 632 | 613 | $30K |
| 92012 | 144 | 137 | $8K | |
| 92014 | 100 | 98 | $8K | |
| 92015 | 343 | 332 | $4K | |
| 92004 | 15 | 13 | $1K | |
| V2025 | Eyeglasses delux frames | 28 | 27 | $914.90 |
| V2784 | Lens polycarb or equal | 276 | 268 | $652.00 |