NPI: 1003921974 · ORLANDO, FL 32803 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 2,131 | $27K |
| 2020 | 3,038 | $62K |
| 2021 | 6,791 | $120K |
| 2022 | 6,603 | $107K |
| 2023 | 3,912 | $64K |
| 2024 | 271 | $4K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 3,197 | 3,005 | $169K | |
| 92004 | 1,477 | 1,413 | $107K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 3,145 | 2,861 | $67K |
| V2100 | Lens spher single plano 4.00 | 850 | 761 | $14K |
| V2020 | Vision svcs frames purchases | 3,484 | 3,266 | $11K |
| 92340 | 4,171 | 3,885 | $7K | |
| V2599 | Contact lens/es other type | 26 | 24 | $2K |
| V2203 | Lens sphcyl bifocal 4.00d/.1 | 109 | 97 | $2K |
| V2104 | Spherocylindr 4.00d/2.12-4d | 166 | 151 | $2K |
| V2107 | Spherocylinder 4.25d/12-2d | 80 | 75 | $1K |
| 92015 | 4,335 | 4,081 | $904.25 | |
| 92310 | 68 | 65 | $200.00 | |
| 92341 | 161 | 147 | $43.50 | |
| V2784 | Lens polycarb or equal | 383 | 361 | $0.00 |
| V2756 | Eye glass case | 12 | 12 | $0.00 |
| 92342 | 12 | 12 | $0.00 | |
| V2025 | Eyeglasses delux frames | 971 | 893 | $0.00 |
| V2750 | Anti-reflective coating | 99 | 96 | $0.00 |