NPI: 1760867246 · FORT WORTH, TX 76107 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 980 | $24K |
| 2019 | 5,681 | $117K |
| 2020 | 5,312 | $141K |
| 2021 | 2,164 | $72K |
| 2022 | 1,480 | $45K |
| 2023 | 1,249 | $37K |
| 2024 | 1,123 | $29K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2020 | Vision svcs frames purchases | 5,010 | 4,886 | $127K |
| 92004 | 1,731 | 1,711 | $78K | |
| V2100 | Lens spher single plano 4.00 | 2,246 | 2,177 | $67K |
| 92014 | 1,675 | 1,422 | $64K | |
| 92340 | 2,904 | 2,856 | $50K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 1,573 | 1,545 | $24K |
| 92015 | 861 | 830 | $16K | |
| 99213 | 198 | 182 | $12K | |
| 92060 | 107 | 105 | $6K | |
| 99203 | 59 | 58 | $6K | |
| V2025 | Eyeglasses delux frames | 106 | 106 | $5K |
| V2784 | Lens polycarb or equal | 1,326 | 1,293 | $3K |
| V2200 | Lens spher bifoc plano 4.00d | 44 | 44 | $2K |
| V2203 | Lens sphcyl bifocal 4.00d/.1 | 36 | 32 | $924.00 |
| 92250 | 12 | 12 | $893.28 | |
| V2104 | Spherocylindr 4.00d/2.12-4d | 47 | 46 | $695.00 |
| V2107 | Spherocylinder 4.25d/12-2d | 37 | 37 | $520.00 |
| V2101 | Single visn sphere 4.12-7.00 | 17 | 17 | $265.00 |