NPI: 1629547971 · LONGVIEW, TX 75605 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 266 | $4K |
| 2022 | 505 | $8K |
| 2023 | 1,175 | $26K |
| 2024 | 563 | $12K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| S0620 | Routine ophthalmological exa | 755 | 464 | $20K |
| V2100 | Lens spher single plano 4.00 | 660 | 611 | $11K |
| S0621 | Routine ophthalmological exa | 266 | 182 | $9K |
| V2020 | Vision svcs frames purchases | 567 | 547 | $8K |
| V2784 | Lens polycarb or equal | 176 | 166 | $1K |
| 92004 | 50 | 48 | $0.00 | |
| 92015 | 35 | 33 | $0.00 |