NPI: 1033109293 · BUFFALO, NY 14202 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 3,230 | $49K |
| 2019 | 2,528 | $54K |
| 2020 | 1,744 | $63K |
| 2021 | 2,219 | $96K |
| 2022 | 3,002 | $115K |
| 2023 | 3,677 | $151K |
| 2024 | 2,262 | $91K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2100 | Lens spher single plano 4.00 | 3,785 | 3,405 | $201K |
| V2020 | Vision svcs frames purchases | 4,809 | 4,753 | $187K |
| 92014 | 1,039 | 1,027 | $63K | |
| 92340 | 2,803 | 2,767 | $42K | |
| V2200 | Lens spher bifoc plano 4.00d | 484 | 477 | $36K |
| 92004 | 733 | 730 | $35K | |
| S0580 | Polycarb lens | 919 | 911 | $18K |
| 92341 | 885 | 872 | $17K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 393 | 201 | $9K |
| V2784 | Lens polycarb or equal | 2,374 | 1,479 | $4K |
| S0620 | Routine ophthalmological exa | 57 | 57 | $2K |
| 92371 | 198 | 194 | $1K | |
| S0621 | Routine ophthalmological exa | 28 | 28 | $1K |
| 92015 | 155 | 154 | $919.16 |