NPI: 1609070119 · MISSION, TX 78572 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 24 | $507.73 |
| 2020 | 26 | $2K |
| 2021 | 480 | $22K |
| 2022 | 954 | $47K |
| 2023 | 1,162 | $65K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| S0620 | Routine ophthalmological exa | 794 | 778 | $33K |
| 92004 | 249 | 245 | $28K | |
| 92014 | 313 | 305 | $24K | |
| 99214 | 395 | 298 | $17K | |
| 92060 | 294 | 291 | $14K | |
| S0621 | Routine ophthalmological exa | 191 | 188 | $8K |
| 99213 | 209 | 152 | $6K | |
| 92065 | 87 | 62 | $3K | |
| 92002 | 17 | 16 | $1K | |
| V2020 | Vision svcs frames purchases | 62 | 62 | $1K |
| V2100 | Lens spher single plano 4.00 | 21 | 21 | $420.39 |
| V2103 | Spherocylindr 4.00d/12-2.00d | 14 | 14 | $264.69 |