NPI: 1467430413 · FORT WORTH, TX 76133 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 3,157 | $85K |
| 2021 | 8,632 | $220K |
| 2022 | 5,938 | $122K |
| 2023 | 5,226 | $127K |
| 2024 | 2,348 | $64K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2020 | Vision svcs frames purchases | 6,937 | 6,143 | $170K |
| S0621 | Routine ophthalmological exa | 3,398 | 3,242 | $168K |
| S0620 | Routine ophthalmological exa | 2,664 | 2,599 | $127K |
| V2100 | Lens spher single plano 4.00 | 6,390 | 5,675 | $123K |
| V2750 | Anti-reflective coating | 2,320 | 2,091 | $28K |
| V2784 | Lens polycarb or equal | 3,579 | 3,353 | $3K |
| 99213 | 13 | 12 | $380.75 |