NPI: 1225040678 · HOUSTON, TX 77087 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 15 | $455.70 |
| 2020 | 1,956 | $48K |
| 2021 | 11,021 | $262K |
| 2022 | 12,393 | $288K |
| 2023 | 14,553 | $316K |
| 2024 | 12,135 | $231K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| S0621 | Routine ophthalmological exa | 10,461 | 10,188 | $444K |
| V2025 | Eyeglasses delux frames | 6,259 | 6,113 | $179K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 8,897 | 8,187 | $155K |
| V2020 | Vision svcs frames purchases | 7,513 | 7,071 | $116K |
| V2784 | Lens polycarb or equal | 9,337 | 8,495 | $96K |
| V2100 | Lens spher single plano 4.00 | 1,758 | 1,646 | $53K |
| 3072F | 3,889 | 3,794 | $24K | |
| V2200 | Lens spher bifoc plano 4.00d | 328 | 326 | $22K |
| 92340 | 1,156 | 1,129 | $21K | |
| V2104 | Spherocylindr 4.00d/2.12-4d | 758 | 722 | $13K |
| 92012 | 166 | 150 | $9K | |
| S0620 | Routine ophthalmological exa | 180 | 179 | $7K |
| V2105 | Spherocylinder 4.00d/4.25-6d | 139 | 133 | $6K |
| 92250 | 12 | 12 | $511.12 | |
| 92015 | 1,048 | 1,038 | $210.00 | |
| 92341 | 172 | 170 | $90.00 |