NPI: 1487868238 · PASADENA, TX 77504 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 97 | $3K |
| 2021 | 1,242 | $24K |
| 2022 | 1,119 | $17K |
| 2023 | 504 | $10K |
| 2024 | 501 | $10K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| S0620 | Routine ophthalmological exa | 454 | 420 | $18K |
| V2025 | Eyeglasses delux frames | 536 | 492 | $13K |
| S0621 | Routine ophthalmological exa | 304 | 291 | $12K |
| V2100 | Lens spher single plano 4.00 | 610 | 566 | $10K |
| V2784 | Lens polycarb or equal | 595 | 558 | $7K |
| V2300 | Lens sphere trifocal 4.00d | 41 | 40 | $1K |
| V2755 | Uv lens/es | 446 | 406 | $915.21 |
| V2760 | Scratch resistant coating | 441 | 402 | $820.99 |
| V2020 | Vision svcs frames purchases | 36 | 35 | $553.59 |