NPI: 1982939526 · OKLAHOMA CITY, OK 73109 · 261QF0400X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 75,505 | $7.24M |
| 2019 | 85,845 | $8.13M |
| 2020 | 78,707 | $6.58M |
| 2021 | 109,187 | $8.02M |
| 2022 | 92,134 | $7.25M |
| 2023 | 111,744 | $10.38M |
| 2024 | 100,514 | $9.39M |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic service | 238,213 | 222,544 | $54.99M |
| 99213 | 104,773 | 99,331 | $449K | |
| 92340 | 8,160 | 8,154 | $248K | |
| D2392 | 1,548 | 1,212 | $151K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 5,937 | 5,928 | $147K |
| 99392 | 11,512 | 11,509 | $90K | |
| 99391 | 10,491 | 10,366 | $84K | |
| D9999 | 270 | 264 | $83K | |
| V2020 | Vision svcs frames purchases | 8,190 | 8,182 | $82K |
| 90471 | 32,462 | 32,368 | $81K | |
| 99214 | 7,015 | 6,907 | $69K | |
| 99393 | 11,996 | 11,995 | $69K | |
| 90472 | 17,906 | 17,885 | $65K | |
| 99394 | 7,956 | 7,953 | $56K | |
| V2104 | Spherocylindr 4.00d/2.12-4d | 1,863 | 1,860 | $40K |
| D9230 | 1,225 | 1,164 | $33K | |
| 0002A | 737 | 736 | $29K | |
| D2391 | 425 | 374 | $26K | |
| 0071A | 615 | 614 | $25K | |
| 0001A | 613 | 612 | $25K | |
| 0072A | 556 | 556 | $22K | |
| 92014 | 5,722 | 5,722 | $18K | |
| 92004 | 3,143 | 3,143 | $15K | |
| 99188 | 1,973 | 1,973 | $15K | |
| 97802 | 439 | 423 | $8K | |
| V2100 | Lens spher single plano 4.00 | 359 | 356 | $7K |
| 87428 | 3,029 | 3,019 | $6K | |
| D1120 | 12,606 | 12,593 | $5K | |
| 90474 | 2,377 | 2,375 | $5K | |
| 90832 | 173 | 136 | $5K | |
| 97803 | 379 | 378 | $4K | |
| 92015 | 8,606 | 8,606 | $4K | |
| D1206 | 14,789 | 14,772 | $4K | |
| D2930 | 28 | 28 | $3K | |
| D0120 | 12,160 | 12,160 | $3K | |
| V2105 | Spherocylinder 4.00d/4.25-6d | 162 | 162 | $3K |
| D0140 | 76 | 76 | $2K | |
| 99203 | 101 | 101 | $2K | |
| 90791 | 348 | 348 | $2K | |
| 0012A | 53 | 53 | $2K | |
| 0003A | 48 | 48 | $2K | |
| D0274 | 3,832 | 3,832 | $2K | |
| 0011A | 76 | 76 | $2K | |
| 99212 | 1,050 | 1,040 | $2K | |
| D1110 | 2,166 | 2,166 | $1K | |
| 90715 | 805 | 805 | $1K | |
| 90460 | 2,265 | 2,264 | $586.88 | |
| 90656 | 122 | 122 | $523.25 | |
| 87880 | 1,614 | 1,609 | $494.00 | |
| 0081A | 12 | 12 | $480.00 | |
| 0111A | 12 | 12 | $480.00 | |
| 96381 | 49 | 49 | $339.03 | |
| G0467 | Fqhc visit, estab pt | 14 | 14 | $302.40 |
| 99204 | 373 | 373 | $295.29 | |
| 90686 | 9,117 | 9,116 | $251.16 | |
| D0220 | 14 | 14 | $213.36 | |
| 0121A | 47 | 47 | $200.00 | |
| 99381 | 1,044 | 1,040 | $191.38 | |
| 99215 | Prolong outpt/office vis | 490 | 489 | $161.13 |
| 90480 | 65 | 65 | $160.00 | |
| 0141A | 12 | 12 | $120.00 | |
| 88720 | 1,233 | 1,045 | $94.93 | |
| 96372 | 26 | 25 | $86.81 | |
| 81025 | 529 | 527 | $86.51 | |
| D1354 | 96 | 51 | $74.00 | |
| D0150 | 811 | 811 | $60.99 | |
| D0330 | 1,269 | 1,269 | $48.77 | |
| D0272 | 1,688 | 1,688 | $36.60 | |
| D1351 | 4,711 | 1,360 | $24.40 | |
| 90633 | 3,242 | 3,242 | $0.11 | |
| 90651 | 4,672 | 4,670 | $0.00 | |
| 1111F | 5,864 | 5,620 | $0.00 | |
| 3008F | 9,384 | 9,016 | $0.00 | |
| V2784 | Lens polycarb or equal | 8,314 | 8,304 | $0.00 |
| 3074F | 6,078 | 5,889 | $0.00 | |
| 90647 | 6,047 | 6,043 | $0.00 | |
| 90723 | 6,154 | 6,149 | $0.00 | |
| 90674 | 5,302 | 5,302 | $0.00 | |
| 90716 | 749 | 749 | $0.00 | |
| 90620 | 736 | 736 | $0.00 | |
| 99202 | 77 | 77 | $0.00 | |
| 87807 | 298 | 298 | $0.00 | |
| 90677 | 427 | 427 | $0.00 | |
| 90696 | 180 | 180 | $0.00 | |
| 87426 | 140 | 140 | $0.00 | |
| 96110 | 13 | 13 | $0.00 | |
| 99384 | 12 | 12 | $0.00 | |
| 90381 | 13 | 13 | $0.00 | |
| 83036 | 31 | 31 | $0.00 | |
| 90671 | 3,002 | 3,000 | $0.00 | |
| 90707 | 634 | 634 | $0.00 | |
| D0145 | 668 | 668 | $0.00 | |
| 90734 | 2,328 | 2,326 | $0.00 | |
| 90681 | 3,235 | 3,233 | $0.00 | |
| 90661 | 1,415 | 1,415 | $0.00 | |
| 3078F | 6,007 | 5,817 | $0.00 | |
| 90670 | 4,712 | 4,711 | $0.00 | |
| 90710 | 391 | 391 | $0.00 | |
| 90700 | 449 | 449 | $0.00 | |
| 87804 | 345 | 345 | $0.00 | |
| 90648 | 68 | 68 | $0.00 | |
| 81003 | 30 | 27 | $0.00 | |
| 90380 | 19 | 19 | $0.00 | |
| 99395 | 12 | 12 | $0.00 | |
| 90687 | 12 | 12 | $0.00 |