NPI: 1760731517 · MAGEE, MS 39111 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,197 | $37K |
| 2019 | 1,125 | $33K |
| 2020 | 948 | $25K |
| 2021 | 1,585 | $51K |
| 2022 | 1,798 | $56K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 539 | 527 | $53K | |
| V2020 | Vision svcs frames purchases | 1,267 | 1,233 | $42K |
| 92004 | 329 | 322 | $39K | |
| 92015 | 1,301 | 1,272 | $23K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 731 | 716 | $23K |
| 92340 | 986 | 954 | $15K | |
| V2784 | Lens polycarb or equal | 868 | 838 | $3K |
| V2100 | Lens spher single plano 4.00 | 95 | 89 | $3K |
| 92012 | 13 | 12 | $943.15 | |
| G8427 | Docrev cur meds by elig clin | 74 | 72 | $0.00 |
| 1036F | 415 | 397 | $0.00 | |
| G9903 | Pt scrn tbco id as non user | 35 | 34 | $0.00 |