NPI: 1306352547 · OKLAHOMA CITY, OK 73114 · 261QF0400X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 4,144 | $442K |
| 2019 | 14,954 | $1.65M |
| 2020 | 15,475 | $1.53M |
| 2021 | 28,489 | $2.64M |
| 2022 | 36,264 | $4.01M |
| 2023 | 37,723 | $4.80M |
| 2024 | 39,438 | $4.25M |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic service | 78,185 | 70,220 | $18.77M |
| 99213 | 28,727 | 26,616 | $158K | |
| 99214 | 6,584 | 6,340 | $77K | |
| D9999 | 138 | 137 | $42K | |
| 92340 | 1,227 | 1,226 | $38K | |
| 99212 | 3,113 | 2,987 | $28K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 890 | 890 | $22K |
| 99391 | 2,031 | 2,027 | $21K | |
| 99392 | 2,640 | 2,639 | $19K | |
| 90471 | 6,962 | 6,936 | $16K | |
| D2392 | 131 | 96 | $15K | |
| 90472 | 4,426 | 4,422 | $15K | |
| 99203 | 1,095 | 1,095 | $14K | |
| 90832 | 232 | 156 | $12K | |
| V2020 | Vision svcs frames purchases | 1,232 | 1,231 | $12K |
| 99393 | 1,896 | 1,896 | $9K | |
| 0012A | 193 | 193 | $8K | |
| 99394 | 812 | 812 | $5K | |
| 0011A | 154 | 154 | $5K | |
| D2391 | 67 | 53 | $4K | |
| G0467 | Fqhc visit, estab pt | 130 | 122 | $4K |
| 0111A | 65 | 65 | $3K | |
| 90791 | 151 | 151 | $2K | |
| D9230 | 58 | 55 | $2K | |
| 92004 | 822 | 822 | $1K | |
| 0071A | 33 | 33 | $1K | |
| D7140 | 24 | 13 | $1K | |
| 90474 | 540 | 457 | $1K | |
| 92015 | 1,728 | 1,728 | $1K | |
| 99202 | 38 | 38 | $844.10 | |
| 0072A | 17 | 17 | $680.00 | |
| 87428 | 237 | 236 | $675.97 | |
| D1120 | 1,351 | 1,351 | $670.78 | |
| D0274 | 519 | 519 | $619.79 | |
| 99381 | 85 | 85 | $575.70 | |
| D1206 | 1,693 | 1,693 | $535.96 | |
| 80305 | 466 | 444 | $530.20 | |
| 90656 | 38 | 38 | $523.25 | |
| D0120 | 1,283 | 1,283 | $471.64 | |
| 99406 | 29 | 28 | $365.69 | |
| V2104 | Spherocylindr 4.00d/2.12-4d | 13 | 13 | $320.85 |
| D1110 | 332 | 332 | $275.64 | |
| V2100 | Lens spher single plano 4.00 | 12 | 12 | $237.15 |
| 92014 | 518 | 518 | $111.22 | |
| 81025 | 549 | 543 | $101.58 | |
| 90686 | 1,025 | 1,025 | $83.72 | |
| 96372 | 27 | 27 | $61.95 | |
| 90715 | 100 | 100 | $4.37 | |
| 90674 | 1,291 | 1,291 | $0.01 | |
| 90633 | 750 | 750 | $0.01 | |
| 3008F | 3,484 | 3,284 | $0.00 | |
| 1125F | 105 | 105 | $0.00 | |
| 90647 | 1,522 | 1,522 | $0.00 | |
| 90723 | 1,573 | 1,573 | $0.00 | |
| V2784 | Lens polycarb or equal | 1,237 | 1,236 | $0.00 |
| 3074F | 2,204 | 2,082 | $0.00 | |
| 1111F | 3,495 | 3,205 | $0.00 | |
| 90651 | 484 | 484 | $0.00 | |
| 1126F | 519 | 511 | $0.00 | |
| 90716 | 79 | 79 | $0.00 | |
| 3079F | 219 | 212 | $0.00 | |
| 83036 | 92 | 92 | $0.00 | |
| D0150 | 107 | 107 | $0.00 | |
| 87807 | 14 | 14 | $0.00 | |
| 99385 | 44 | 44 | $0.00 | |
| 90677 | 94 | 94 | $0.00 | |
| 3080F | 12 | 12 | $0.00 | |
| 90620 | 14 | 14 | $0.00 | |
| 88720 | 44 | 39 | $0.00 | |
| 99386 | 12 | 12 | $0.00 | |
| 3075F | 42 | 41 | $0.00 | |
| 90792 | 43 | 43 | $0.00 | |
| 90696 | 13 | 13 | $0.00 | |
| 90734 | 166 | 166 | $0.00 | |
| 90670 | 1,356 | 1,356 | $0.00 | |
| 90681 | 697 | 696 | $0.00 | |
| 3078F | 1,980 | 1,881 | $0.00 | |
| 90671 | 623 | 623 | $0.00 | |
| 90661 | 223 | 223 | $0.00 | |
| 99204 | 188 | 188 | $0.00 | |
| 99215 | Prolong outpt/office vis | 58 | 51 | $0.00 |
| 99395 | 207 | 207 | $0.00 | |
| D0145 | 30 | 30 | $0.00 | |
| 87880 | 66 | 66 | $0.00 | |
| 90460 | 440 | 439 | $0.00 | |
| 87210 | 26 | 26 | $0.00 | |
| 90687 | 32 | 32 | $0.00 | |
| 99188 | 133 | 133 | $0.00 | |
| 90700 | 30 | 30 | $0.00 | |
| 90707 | 54 | 54 | $0.00 | |
| 90710 | 36 | 36 | $0.00 | |
| 87804 | 17 | 17 | $0.00 | |
| 3077F | 14 | 13 | $0.00 |