NPI: 1013098524 · COLUMBIA, MD 21045 · 332H00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 1,355 | $1K |
| 2021 | 1,187 | $2K |
| 2022 | 1,675 | $6K |
| 2023 | 5,191 | $40K |
| 2024 | 3,607 | $46K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2100 | Lens spher single plano 4.00 | 3,629 | 3,151 | $26K |
| 92004 | 1,904 | 1,516 | $26K | |
| V2020 | Vision svcs frames purchases | 4,105 | 3,554 | $25K |
| 92014 | 490 | 468 | $8K | |
| V2784 | Lens polycarb or equal | 2,225 | 1,971 | $7K |
| V2300 | Lens sphere trifocal 4.00d | 163 | 145 | $2K |
| 92310 | 194 | 169 | $2K | |
| V2781 | Progressive lens per lens | 113 | 101 | $0.00 |
| 92250 | 112 | 108 | $0.00 | |
| V2520 | Contact lens hydrophilic | 17 | 12 | $0.00 |
| V2797 | Vis item/svc in other code | 63 | 62 | $0.00 |