NPI: 1205124914 · LUBBOCK, TX 79412 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 268 | $9K |
| 2023 | 944 | $30K |
| 2024 | 702 | $25K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2020 | Vision svcs frames purchases | 862 | 847 | $18K |
| V2784 | Lens polycarb or equal | 357 | 355 | $12K |
| S0621 | Routine ophthalmological exa | 153 | 152 | $9K |
| 92014 | 76 | 75 | $8K | |
| S0620 | Routine ophthalmological exa | 98 | 98 | $6K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 189 | 189 | $5K |
| 92004 | 17 | 17 | $2K | |
| 92015 | 120 | 120 | $2K | |
| V2100 | Lens spher single plano 4.00 | 30 | 30 | $805.36 |
| V2104 | Spherocylindr 4.00d/2.12-4d | 12 | 12 | $327.68 |