NPI: 1548301864 · GREENVILLE, MS 38701 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 4,178 | $134K |
| 2019 | 4,120 | $146K |
| 2020 | 2,616 | $83K |
| 2021 | 3,320 | $119K |
| 2022 | 1,940 | $69K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92012 | 1,596 | 1,555 | $110K | |
| V2020 | Vision svcs frames purchases | 3,513 | 3,317 | $108K |
| 92014 | 1,012 | 932 | $86K | |
| 92015 | 3,818 | 3,629 | $85K | |
| 92340 | 2,698 | 2,574 | $45K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 1,339 | 1,293 | $39K |
| 92002 | 421 | 414 | $27K | |
| V2100 | Lens spher single plano 4.00 | 535 | 519 | $19K |
| 92341 | 563 | 517 | $10K | |
| V2203 | Lens sphcyl bifocal 4.00d/.1 | 195 | 182 | $8K |
| 92004 | 69 | 68 | $8K | |
| 99213 | 56 | 56 | $3K | |
| V2200 | Lens spher bifoc plano 4.00d | 12 | 12 | $572.67 |
| 92133 | 16 | 15 | $424.70 | |
| V2784 | Lens polycarb or equal | 331 | 316 | $30.00 |