NPI: 1760453062 · ARLINGTON, TX 76017 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 3,110 | $61K |
| 2022 | 3,298 | $146K |
| 2023 | 3,849 | $158K |
| 2024 | 2,739 | $99K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 1,445 | 1,434 | $125K | |
| 92004 | 1,003 | 990 | $103K | |
| V2020 | Vision svcs frames purchases | 3,114 | 2,954 | $63K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 1,914 | 1,823 | $43K |
| 92015 | 3,115 | 3,084 | $40K | |
| S0621 | Routine ophthalmological exa | 598 | 586 | $34K |
| 92012 | 464 | 458 | $28K | |
| 92025 | 348 | 347 | $9K | |
| V2104 | Spherocylindr 4.00d/2.12-4d | 390 | 348 | $8K |
| V2100 | Lens spher single plano 4.00 | 351 | 324 | $7K |
| V2750 | Anti-reflective coating | 77 | 77 | $2K |
| V2107 | Spherocylinder 4.25d/12-2d | 90 | 81 | $1K |
| 99213 | 36 | 35 | $1K | |
| 92310 | 15 | 14 | $140.30 | |
| V2784 | Lens polycarb or equal | 36 | 36 | $0.00 |