NPI: 1881171007 · NEW BRAUNFELS, TX 78130 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 35 | $1K |
| 2021 | 790 | $20K |
| 2022 | 671 | $18K |
| 2023 | 234 | $9K |
| 2024 | 143 | $6K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| S0620 | Routine ophthalmological exa | 919 | 882 | $39K |
| V2750 | Anti-reflective coating | 292 | 273 | $4K |
| V2020 | Vision svcs frames purchases | 203 | 193 | $4K |
| V2784 | Lens polycarb or equal | 282 | 264 | $3K |
| S0621 | Routine ophthalmological exa | 47 | 46 | $2K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 104 | 92 | $2K |
| V2102 | Singl visn sphere 7.12-20.00 | 26 | 26 | $1K |