NPI: 1336785740 · CYPRESS, TX 77433 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 38 | $1K |
| 2021 | 350 | $7K |
| 2022 | 618 | $13K |
| 2023 | 583 | $9K |
| 2024 | 319 | $8K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| S0620 | Routine ophthalmological exa | 813 | 750 | $31K |
| S0621 | Routine ophthalmological exa | 95 | 91 | $4K |
| V2020 | Vision svcs frames purchases | 110 | 101 | $1K |
| V2100 | Lens spher single plano 4.00 | 125 | 102 | $1K |
| V2784 | Lens polycarb or equal | 109 | 103 | $792.00 |
| 92015 | 641 | 554 | $170.00 | |
| 92004 | 15 | 15 | $67.50 |