NPI: 1831218171 · SUGAR LAND, TX 77479 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 693 | $25K |
| 2021 | 1,450 | $54K |
| 2022 | 2,495 | $97K |
| 2023 | 2,210 | $87K |
| 2024 | 1,691 | $66K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2100 | Lens spher single plano 4.00 | 2,094 | 2,026 | $78K |
| 92014 | 906 | 891 | $68K | |
| S0621 | Routine ophthalmological exa | 862 | 850 | $36K |
| 92004 | 353 | 350 | $35K | |
| V2020 | Vision svcs frames purchases | 1,323 | 1,283 | $35K |
| V2025 | Eyeglasses delux frames | 691 | 681 | $24K |
| 92015 | 1,444 | 1,420 | $18K | |
| S0620 | Routine ophthalmological exa | 404 | 399 | $17K |
| 92012 | 146 | 131 | $8K | |
| V2784 | Lens polycarb or equal | 304 | 297 | $8K |
| V2203 | Lens sphcyl bifocal 4.00d/.1 | 12 | 12 | $540.54 |