NPI: 1437157690 · CASTROVILLE, TX 78009 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 1,645 | $14K |
| 2024 | 1,589 | $37K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| S0621 | Routine ophthalmological exa | 433 | 433 | $13K |
| V2020 | Vision svcs frames purchases | 692 | 688 | $13K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 486 | 484 | $9K |
| V2784 | Lens polycarb or equal | 613 | 610 | $8K |
| V2104 | Spherocylindr 4.00d/2.12-4d | 132 | 132 | $3K |
| S0620 | Routine ophthalmological exa | 99 | 99 | $2K |
| V2100 | Lens spher single plano 4.00 | 101 | 100 | $2K |
| V2025 | Eyeglasses delux frames | 48 | 48 | $906.00 |
| 92015 | 630 | 630 | $0.00 |