NPI: 1558782243 · HOUSTON, TX 77023 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 13 | $423.15 |
| 2020 | 1,052 | $31K |
| 2021 | 4,037 | $132K |
| 2022 | 4,928 | $146K |
| 2023 | 4,724 | $136K |
| 2024 | 2,712 | $83K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| S0621 | Routine ophthalmological exa | 5,733 | 5,497 | $236K |
| S0620 | Routine ophthalmological exa | 3,806 | 3,680 | $158K |
| V2020 | Vision svcs frames purchases | 3,421 | 3,278 | $58K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 2,283 | 2,180 | $46K |
| V2784 | Lens polycarb or equal | 704 | 693 | $8K |
| V2025 | Eyeglasses delux frames | 299 | 295 | $8K |
| V2104 | Spherocylindr 4.00d/2.12-4d | 352 | 340 | $7K |
| 92014 | 86 | 85 | $3K | |
| 92015 | 255 | 253 | $3K | |
| 92004 | 54 | 52 | $2K | |
| V2107 | Spherocylinder 4.25d/12-2d | 14 | 14 | $285.42 |
| V2100 | Lens spher single plano 4.00 | 12 | 12 | $249.12 |
| 2023F | 447 | 409 | $50.00 |