NPI: 1902948383 · PASADENA, TX 77502 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 191 | $4K |
| 2021 | 1,445 | $32K |
| 2022 | 1,107 | $25K |
| 2023 | 702 | $17K |
| 2024 | 318 | $8K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| S0621 | Routine ophthalmological exa | 769 | 766 | $33K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 1,106 | 1,101 | $22K |
| V2784 | Lens polycarb or equal | 1,109 | 1,103 | $13K |
| V2025 | Eyeglasses delux frames | 494 | 491 | $12K |
| V2020 | Vision svcs frames purchases | 261 | 259 | $4K |
| S0620 | Routine ophthalmological exa | 24 | 24 | $1K |