NPI: 1245301902 · BROWNSVILLE, TX 78521 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 18 | $789.50 |
| 2019 | 25 | $1K |
| 2020 | 1,461 | $55K |
| 2021 | 9,121 | $361K |
| 2022 | 9,848 | $401K |
| 2023 | 8,066 | $304K |
| 2024 | 4,171 | $142K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 3,150 | 3,105 | $240K | |
| 92060 | 4,996 | 4,935 | $215K | |
| 92004 | 2,155 | 2,133 | $205K | |
| V2025 | Eyeglasses delux frames | 4,399 | 4,366 | $197K |
| S0621 | Routine ophthalmological exa | 2,383 | 2,343 | $98K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 3,531 | 3,449 | $82K |
| 92015 | 5,422 | 5,351 | $66K | |
| S0620 | Routine ophthalmological exa | 1,450 | 1,438 | $61K |
| V2104 | Spherocylindr 4.00d/2.12-4d | 1,645 | 1,621 | $37K |
| V2020 | Vision svcs frames purchases | 2,320 | 2,280 | $36K |
| V2108 | Spherocylinder 4.25d/2.12-4d | 1,240 | 1,213 | $28K |
| 99214 | 19 | 18 | $893.44 |