NPI: 1003902016 · BALTIMORE, MD 21215 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 1,819 | $27K |
| 2021 | 1,436 | $25K |
| 2022 | 995 | $14K |
| 2023 | 635 | $12K |
| 2024 | 1,465 | $25K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2020 | Vision svcs frames purchases | 2,609 | 2,327 | $36K |
| V2100 | Lens spher single plano 4.00 | 1,418 | 1,263 | $21K |
| 92002 | 694 | 656 | $15K | |
| 92004 | 627 | 502 | $12K | |
| V2200 | Lens spher bifoc plano 4.00d | 382 | 361 | $10K |
| 92014 | 254 | 238 | $7K | |
| V2784 | Lens polycarb or equal | 224 | 188 | $1K |
| V2781 | Progressive lens per lens | 55 | 41 | $1K |
| V2299 | Lens bifocal speciality | 55 | 41 | $829.40 |
| 92012 | 12 | 12 | $331.27 | |
| V2744 | Tint photochromatic lens/es | 20 | 14 | $0.00 |