NPI: 1023033511 · SALAMANCA, NY 14779 · 261QF0400X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 3,404 | $124K |
| 2019 | 4,107 | $163K |
| 2020 | 5,136 | $369K |
| 2021 | 11,943 | $1.07M |
| 2022 | 8,686 | $1.13M |
| 2023 | 8,345 | $1.42M |
| 2024 | 4,485 | $1.20M |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99213 | 14,249 | 13,391 | $1.51M | |
| 90837 | 3,633 | 2,484 | $823K | |
| D0999 | 1,218 | 1,144 | $744K | |
| 90834 | 2,213 | 1,817 | $438K | |
| 99214 | 2,675 | 2,594 | $429K | |
| 90832 | 1,977 | 1,584 | $426K | |
| 90791 | 704 | 683 | $170K | |
| 87635 | 1,762 | 1,724 | $170K | |
| 99443 | 490 | 460 | $92K | |
| 92014 | 998 | 998 | $81K | |
| 99392 | 452 | 452 | $64K | |
| 99393 | 387 | 387 | $52K | |
| 90460 | 1,048 | 1,048 | $44K | |
| 0011A | 411 | 411 | $44K | |
| 0012A | 390 | 390 | $43K | |
| 99212 | 501 | 482 | $28K | |
| V2100 | Lens spher single plano 4.00 | 537 | 535 | $26K |
| 90471 | 1,037 | 1,036 | $24K | |
| 98968 | 178 | 124 | $23K | |
| V2020 | Vision svcs frames purchases | 401 | 399 | $23K |
| 0002A | 167 | 167 | $20K | |
| 0064A | 185 | 185 | $19K | |
| 0001A | 156 | 156 | $18K | |
| G9007 | Mccd, sch team conf | 179 | 179 | $18K |
| 87637 | 96 | 95 | $16K | |
| 0072A | 180 | 180 | $16K | |
| 0071A | 174 | 173 | $16K | |
| 87811 | 170 | 168 | $15K | |
| 99394 | 74 | 74 | $11K | |
| 98967 | 61 | 48 | $9K | |
| D1110 | 206 | 206 | $8K | |
| 99391 | 66 | 66 | $8K | |
| D1206 | 373 | 373 | $7K | |
| 92015 | 1,034 | 1,032 | $7K | |
| D1120 | 128 | 128 | $5K | |
| V2784 | Lens polycarb or equal | 307 | 306 | $4K |
| 0004A | 27 | 27 | $3K | |
| 36415 | 2,655 | 2,437 | $3K | |
| D2392 | 28 | 15 | $2K | |
| 0134A | 12 | 12 | $2K | |
| 80305 | 167 | 155 | $1K | |
| 90472 | 70 | 70 | $997.88 | |
| D2391 | 18 | 12 | $950.00 | |
| 81003 | 137 | 135 | $825.78 | |
| D0150 | 42 | 42 | $570.00 | |
| 91300 | 438 | 414 | $519.00 | |
| D0330 | 14 | 14 | $430.00 | |
| 90686 | 972 | 972 | $346.06 | |
| D0140 | 24 | 24 | $336.00 | |
| 83036 | 39 | 39 | $321.18 | |
| D9230 | 95 | 93 | $50.00 | |
| 96127 | 13 | 12 | $32.75 | |
| 90461 | 39 | 39 | $24.94 | |
| 82962 | 37 | 36 | $4.90 | |
| 90670 | 168 | 168 | $0.00 | |
| 90633 | 16 | 16 | $0.00 | |
| D0274 | 25 | 25 | $0.00 | |
| 91313 | 12 | 12 | $0.00 | |
| D1330 | 512 | 511 | $0.00 | |
| 91307 | 433 | 401 | $0.00 | |
| 91301 | 963 | 928 | $0.00 | |
| 90680 | 40 | 40 | $0.00 | |
| 91306 | 184 | 184 | $0.00 | |
| 90647 | 40 | 40 | $0.00 | |
| 90723 | 53 | 53 | $0.00 | |
| 99000 | 16 | 15 | $0.00 |