NPI: 1033195888 · SAN BERNARDINO, CA 92404 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 8,075 | $165K |
| 2019 | 7,377 | $149K |
| 2020 | 6,711 | $144K |
| 2021 | 9,606 | $252K |
| 2022 | 9,663 | $247K |
| 2023 | 11,629 | $260K |
| 2024 | 11,411 | $260K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2020 | Vision svcs frames purchases | 15,710 | 15,008 | $353K |
| 92004 | 8,772 | 8,720 | $350K | |
| 92340 | 11,526 | 11,449 | $251K | |
| 92014 | 6,350 | 6,306 | $213K | |
| 92015 | 15,958 | 15,847 | $128K | |
| 92250 | 1,771 | 1,753 | $61K | |
| 92341 | 1,829 | 1,820 | $54K | |
| 99213 | 1,208 | 1,143 | $26K | |
| V2750 | Anti-reflective coating | 232 | 206 | $17K |
| V2784 | Lens polycarb or equal | 498 | 224 | $12K |
| 92225 | 106 | 53 | $5K | |
| V2203 | Lens sphcyl bifocal 4.00d/.1 | 64 | 31 | $3K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 241 | 137 | $2K |
| V2781 | Progressive lens per lens | 38 | 14 | $2K |
| 92226 | 23 | 12 | $907.58 | |
| 99203 | 16 | 16 | $906.08 | |
| V2100 | Lens spher single plano 4.00 | 41 | 24 | $336.61 |
| 92133 | 12 | 12 | $275.57 | |
| 99072 | 77 | 64 | $0.00 |