NPI: 1932507977 · CORPUS CHRISTI, TX 78411 · 332H00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 937 | $16K |
| 2021 | 4,981 | $69K |
| 2022 | 4,943 | $78K |
| 2023 | 5,243 | $82K |
| 2024 | 2,341 | $38K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2103 | Spherocylindr 4.00d/12-2.00d | 3,911 | 3,710 | $86K |
| V2025 | Eyeglasses delux frames | 3,308 | 3,148 | $75K |
| V2020 | Vision svcs frames purchases | 2,811 | 2,639 | $50K |
| V2784 | Lens polycarb or equal | 5,229 | 4,971 | $23K |
| V2104 | Spherocylindr 4.00d/2.12-4d | 1,107 | 1,051 | $22K |
| V2100 | Lens spher single plano 4.00 | 1,101 | 1,021 | $21K |
| V2107 | Spherocylinder 4.25d/12-2d | 239 | 233 | $5K |
| V2105 | Spherocylinder 4.00d/4.25-6d | 56 | 55 | $1K |
| V2750 | Anti-reflective coating | 649 | 620 | $367.48 |
| V2755 | Uv lens/es | 15 | 15 | $0.00 |
| V2760 | Scratch resistant coating | 19 | 19 | $0.00 |