NPI: 1154763340 · WACO, TX 76710 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 280 | $11K |
| 2021 | 924 | $38K |
| 2022 | 990 | $41K |
| 2023 | 2,428 | $98K |
| 2024 | 1,213 | $51K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| S0621 | Routine ophthalmological exa | 3,068 | 3,011 | $131K |
| S0620 | Routine ophthalmological exa | 2,367 | 2,340 | $101K |
| V2020 | Vision svcs frames purchases | 117 | 115 | $6K |
| V2100 | Lens spher single plano 4.00 | 105 | 102 | $2K |
| V2784 | Lens polycarb or equal | 84 | 81 | $19.50 |
| V2750 | Anti-reflective coating | 78 | 75 | $0.00 |
| 92015 | 16 | 16 | $0.00 |