NPI: 1972517506 · CALHOUN CITY, MS 38916 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 4,523 | $65K |
| 2019 | 4,675 | $67K |
| 2020 | 3,845 | $51K |
| 2021 | 3,663 | $45K |
| 2022 | 3,049 | $42K |
| 2023 | 2,221 | $27K |
| 2024 | 1,285 | $21K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 2,347 | 2,183 | $144K | |
| 92012 | 1,028 | 973 | $42K | |
| 92015 | 1,940 | 1,736 | $36K | |
| 92340 | 1,988 | 1,792 | $32K | |
| V2020 | Vision svcs frames purchases | 780 | 706 | $23K |
| 99213 | 436 | 388 | $17K | |
| 92004 | 101 | 98 | $10K | |
| 92083 | 932 | 530 | $6K | |
| 92250 | 906 | 509 | $4K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 26 | 26 | $651.20 |
| V2100 | Lens spher single plano 4.00 | 20 | 16 | $617.83 |
| 92020 | 80 | 80 | $315.31 | |
| 92226 | 91 | 51 | $236.18 | |
| G2211 | Complex e/m visit add on | 18 | 17 | $21.63 |
| 1036F | 3,115 | 2,745 | $14.28 | |
| V2784 | Lens polycarb or equal | 235 | 185 | $7.00 |
| 2022F | 142 | 136 | $0.07 | |
| 3072F | 41 | 37 | $0.01 | |
| G9903 | Pt scrn tbco id as non user | 3,566 | 3,174 | $0.00 |
| 3284F | 751 | 707 | $0.00 | |
| 4177F | 59 | 57 | $0.00 | |
| G8397 | Dil macula/fundus exam/w doc | 171 | 164 | $0.00 |
| 5010F | 171 | 164 | $0.00 | |
| 2027F | 621 | 579 | $0.00 | |
| G8427 | Docrev cur meds by elig clin | 3,224 | 2,819 | $0.00 |
| G9974 | Mac exam perf | 128 | 124 | $0.00 |
| G8785 | Bp scrn no perf at interval | 331 | 312 | $0.00 |
| G2102 | Dil retinal eye exam | 13 | 13 | $0.00 |