NPI: 1790072064 · AUSTIN, TX 78704 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 84 | $3K |
| 2022 | 99 | $2K |
| 2023 | 846 | $23K |
| 2024 | 304 | $8K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| S0621 | Routine ophthalmological exa | 456 | 455 | $19K |
| V2020 | Vision svcs frames purchases | 356 | 354 | $5K |
| V2784 | Lens polycarb or equal | 240 | 238 | $5K |
| V2100 | Lens spher single plano 4.00 | 179 | 179 | $4K |
| V2025 | Eyeglasses delux frames | 29 | 29 | $2K |
| V2102 | Singl visn sphere 7.12-20.00 | 26 | 26 | $1K |
| S0620 | Routine ophthalmological exa | 27 | 27 | $1K |
| V2750 | Anti-reflective coating | 20 | 20 | $586.00 |