NPI: 1437659505 · HOUSTON, TX 77004 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 69 | $352.19 |
| 2019 | 837 | $14K |
| 2020 | 1,492 | $46K |
| 2021 | 7,561 | $292K |
| 2022 | 2,218 | $81K |
| 2023 | 225 | $6K |
| 2024 | 204 | $7K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92004 | 1,297 | 1,214 | $130K | |
| 92250 | 1,681 | 1,542 | $61K | |
| 92273 | 695 | 637 | $50K | |
| 92012 | 676 | 593 | $32K | |
| 92083 | 601 | 544 | $24K | |
| S0620 | Routine ophthalmological exa | 576 | 571 | $24K |
| 95004 | 173 | 170 | $21K | |
| 92015 | 1,510 | 1,409 | $20K | |
| 92014 | 375 | 363 | $20K | |
| V2020 | Vision svcs frames purchases | 1,206 | 1,099 | $13K |
| 99344 | 282 | 259 | $11K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 1,279 | 669 | $9K |
| 92133 | 367 | 342 | $9K | |
| 68761 | 62 | 55 | $7K | |
| 99349 | 117 | 113 | $5K | |
| 92020 | 309 | 284 | $4K | |
| V2100 | Lens spher single plano 4.00 | 426 | 238 | $3K |
| 76514 | 464 | 429 | $1K | |
| S0621 | Routine ophthalmological exa | 18 | 17 | $612.50 |
| V2784 | Lens polycarb or equal | 181 | 84 | $594.00 |
| V2104 | Spherocylindr 4.00d/2.12-4d | 92 | 54 | $446.34 |
| 92285 | 120 | 115 | $396.08 | |
| 92286 | 27 | 26 | $56.92 | |
| 92340 | 32 | 32 | $0.00 | |
| 99214 | 40 | 40 | $0.00 |