NPI: 1710034913 · LAREDO, TX 78041 · 332H00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 897 | $27K |
| 2021 | 4,282 | $148K |
| 2022 | 4,481 | $159K |
| 2023 | 2,487 | $92K |
| 2024 | 1,236 | $47K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 1,875 | 1,831 | $135K | |
| 92004 | 1,374 | 1,318 | $118K | |
| V2020 | Vision svcs frames purchases | 4,190 | 4,119 | $80K |
| V2100 | Lens spher single plano 4.00 | 3,512 | 3,448 | $76K |
| V2784 | Lens polycarb or equal | 1,550 | 1,541 | $47K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 396 | 392 | $7K |
| V2781 | Progressive lens per lens | 200 | 197 | $6K |
| V2104 | Spherocylindr 4.00d/2.12-4d | 107 | 106 | $1K |
| 92250 | 44 | 43 | $1K | |
| S0620 | Routine ophthalmological exa | 42 | 42 | $1K |
| V2107 | Spherocylinder 4.25d/12-2d | 25 | 25 | $350.35 |
| V2750 | Anti-reflective coating | 15 | 15 | $261.80 |
| V2755 | Uv lens/es | 14 | 14 | $17.46 |
| V2799 | Misc vision item or service | 12 | 12 | $0.72 |
| 92015 | 27 | 27 | $0.00 |