NPI: 1669480877 · LAKE CHARLES, LA 70601 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 5,589 | $119K |
| 2019 | 5,411 | $94K |
| 2020 | 1,568 | $37K |
| 2021 | 197 | $2K |
| 2022 | 308 | $2K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 1,782 | 1,561 | $103K | |
| V2020 | Vision svcs frames purchases | 3,858 | 3,314 | $47K |
| 99211 | 3,366 | 2,952 | $38K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 2,158 | 1,814 | $29K |
| V2203 | Lens sphcyl bifocal 4.00d/.1 | 422 | 352 | $19K |
| V2100 | Lens spher single plano 4.00 | 770 | 650 | $9K |
| V2107 | Spherocylinder 4.25d/12-2d | 306 | 274 | $4K |
| V2104 | Spherocylindr 4.00d/2.12-4d | 134 | 115 | $2K |
| V2799 | Misc vision item or service | 94 | 94 | $1K |
| 92004 | 13 | 13 | $1K | |
| 92015 | 170 | 144 | $345.19 |