NPI: 1508024415 · ANTIOCH, TN 37013 · 207W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,174 | $46K |
| 2019 | 1,655 | $70K |
| 2020 | 2,980 | $115K |
| 2021 | 654 | $29K |
| 2022 | 291 | $13K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99214 | 888 | 805 | $50K | |
| 92014 | 689 | 685 | $49K | |
| 99204 | 455 | 428 | $40K | |
| 92340 | 1,100 | 1,084 | $34K | |
| 99213 | 857 | 724 | $33K | |
| 92015 | 1,392 | 1,346 | $32K | |
| 92004 | 156 | 156 | $15K | |
| V2784 | Lens polycarb or equal | 272 | 146 | $5K |
| 99212 | 158 | 141 | $4K | |
| 92133 | 123 | 117 | $3K | |
| 92083 | 63 | 58 | $2K | |
| V2020 | Vision svcs frames purchases | 152 | 151 | $2K |
| 92012 | 28 | 26 | $1K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 48 | 27 | $606.14 |
| G8785 | Bp scrn no perf at interval | 153 | 138 | $0.00 |
| G9905 | No pt tbco scrn rng | 188 | 176 | $0.00 |
| 2026F | 32 | 32 | $0.00 |