NPI: 1164439923 · LAKE CHARLES, LA 70601 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 10,121 | $311K |
| 2019 | 8,829 | $262K |
| 2020 | 6,669 | $203K |
| 2021 | 7,682 | $244K |
| 2022 | 7,754 | $249K |
| 2023 | 8,339 | $248K |
| 2024 | 5,975 | $178K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 12,500 | 11,442 | $850K | |
| 92004 | 4,292 | 3,994 | $362K | |
| V2020 | Vision svcs frames purchases | 11,436 | 10,368 | $171K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 10,325 | 6,069 | $100K |
| 99211 | 6,704 | 6,336 | $84K | |
| V2203 | Lens sphcyl bifocal 4.00d/.1 | 1,447 | 820 | $45K |
| V2100 | Lens spher single plano 4.00 | 3,164 | 2,011 | $29K |
| 92340 | 2,636 | 2,379 | $29K | |
| V2107 | Spherocylinder 4.25d/12-2d | 950 | 578 | $10K |
| 92012 | 268 | 186 | $9K | |
| V2104 | Spherocylindr 4.00d/2.12-4d | 470 | 325 | $4K |
| V2200 | Lens spher bifoc plano 4.00d | 30 | 26 | $891.24 |
| V2799 | Misc vision item or service | 28 | 28 | $192.66 |
| 3072F | 16 | 12 | $0.00 | |
| 92015 | 1,103 | 958 | $0.00 |