NPI: 1275500845 · ALLEN, TX 75002 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 1,422 | $47K |
| 2021 | 4,925 | $166K |
| 2022 | 3,136 | $105K |
| 2023 | 1,915 | $60K |
| 2024 | 1,662 | $52K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2020 | Vision svcs frames purchases | 4,860 | 4,655 | $132K |
| S0621 | Routine ophthalmological exa | 2,176 | 2,142 | $111K |
| S0620 | Routine ophthalmological exa | 2,132 | 2,095 | $104K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 2,695 | 2,599 | $56K |
| V2104 | Spherocylindr 4.00d/2.12-4d | 440 | 427 | $9K |
| 92012 | 101 | 97 | $6K | |
| V2100 | Lens spher single plano 4.00 | 271 | 266 | $4K |
| 92004 | 38 | 37 | $4K | |
| 92014 | 13 | 13 | $1K | |
| 92060 | 25 | 25 | $1K | |
| V2105 | Spherocylinder 4.00d/4.25-6d | 24 | 24 | $528.00 |
| 92015 | 285 | 276 | $270.26 |