NPI: 1013559673 · HAGERSTOWN, MD 21742 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 1,211 | $50K |
| 2021 | 1,909 | $95K |
| 2022 | 1,873 | $83K |
| 2023 | 3,719 | $127K |
| 2024 | 3,353 | $120K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92004 | 1,699 | 1,554 | $135K | |
| V2020 | Vision svcs frames purchases | 3,107 | 2,945 | $131K |
| 92014 | 1,283 | 1,232 | $84K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 1,219 | 1,143 | $43K |
| V2784 | Lens polycarb or equal | 1,093 | 1,044 | $30K |
| V2100 | Lens spher single plano 4.00 | 1,059 | 1,023 | $26K |
| 92015 | 2,498 | 2,328 | $21K | |
| 99213 | 76 | 66 | $3K | |
| V2104 | Spherocylindr 4.00d/2.12-4d | 18 | 16 | $646.50 |
| V2203 | Lens sphcyl bifocal 4.00d/.1 | 13 | 12 | $294.00 |