NPI: 1023321650 · NEW YORK, NY 10013 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,249 | $8K |
| 2019 | 2,520 | $8K |
| 2020 | 1,918 | $5K |
| 2021 | 3,388 | $22K |
| 2022 | 2,954 | $44K |
| 2023 | 1,319 | $12K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2020 | Vision svcs frames purchases | 2,996 | 2,929 | $48K |
| V2199 | Lens single vision not oth c | 1,649 | 821 | $14K |
| 92004 | 313 | 307 | $12K | |
| V2299 | Lens bifocal speciality | 1,245 | 616 | $12K |
| V2100 | Lens spher single plano 4.00 | 504 | 277 | $7K |
| V2200 | Lens spher bifoc plano 4.00d | 292 | 149 | $6K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 172 | 86 | $369.72 |
| V2760 | Scratch resistant coating | 101 | 50 | $350.00 |
| V2203 | Lens sphcyl bifocal 4.00d/.1 | 180 | 90 | $233.48 |
| V2799 | Misc vision item or service | 56 | 41 | $160.00 |
| V2750 | Anti-reflective coating | 26 | 12 | $0.00 |
| V2784 | Lens polycarb or equal | 2,838 | 1,411 | $0.00 |
| V2755 | Uv lens/es | 2,976 | 1,478 | $0.00 |