NPI: 1912968371 · CHATTANOOGA, TN 37421 · 207W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 10,561 | $130K |
| 2019 | 6,977 | $101K |
| 2020 | 3,346 | $101K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 2,078 | 1,889 | $80K | |
| 92250 | 2,558 | 2,318 | $58K | |
| 92012 | 1,635 | 1,461 | $47K | |
| 92004 | 790 | 717 | $46K | |
| 92083 | 1,214 | 1,107 | $31K | |
| 92340 | 510 | 476 | $13K | |
| 95930 | 342 | 333 | $10K | |
| 92133 | 596 | 569 | $10K | |
| 92134 | 656 | 526 | $8K | |
| 92275 | 125 | 121 | $6K | |
| V2020 | Vision svcs frames purchases | 524 | 483 | $5K |
| 92002 | 111 | 94 | $4K | |
| 92136 | 464 | 336 | $4K | |
| 67028 | 98 | 66 | $4K | |
| J9035 | Bevacizumab injection | 93 | 65 | $3K |
| V2100 | Lens spher single plano 4.00 | 85 | 83 | $1K |
| 76514 | 154 | 140 | $706.90 | |
| 92285 | 51 | 43 | $595.79 | |
| 92025 | 44 | 39 | $569.31 | |
| 92015 | 15 | 12 | $379.72 | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 13 | 13 | $226.26 |
| 2024F | 564 | 508 | $10.00 | |
| 2022F | 582 | 527 | $10.00 | |
| 2026F | 563 | 507 | $10.00 | |
| 3072F | 452 | 411 | $10.00 | |
| G9902 | Pt scrn tbco and id as user | 285 | 237 | $0.03 |
| G9903 | Pt scrn tbco id as non user | 900 | 777 | $0.03 |
| 0517F | 292 | 264 | $0.00 | |
| 2027F | 256 | 231 | $0.00 | |
| G9744 | Pt not eli d/t act dig htn | 904 | 787 | $0.00 |
| G8427 | Docrev cur meds by elig clin | 1,722 | 1,506 | $0.00 |
| 3284F | 141 | 126 | $0.00 | |
| 1036F | 1,559 | 1,357 | $0.00 | |
| 3285F | 141 | 126 | $0.00 | |
| G8428 | Cur meds not document | 355 | 322 | $0.00 |
| V2200 | Lens spher bifoc plano 4.00d | 12 | 12 | $0.00 |