NPI: 1033211263
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 2,384 | $41K |
| 2020 | 1,083 | $21K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92004 | 299 | 295 | $32K | |
| 92014 | 291 | 290 | $29K | |
| 92015 | 637 | 632 | $685.00 | |
| V2020 | Vision svcs frames purchases | 576 | 572 | $240.00 |
| V2100 | Lens spher single plano 4.00 | 450 | 381 | $35.00 |
| 92340 | 491 | 489 | $0.00 | |
| G0117 | Glaucoma scrn hgh risk direc | 137 | 137 | $0.00 |
| 92341 | 12 | 12 | $0.00 | |
| V2755 | Uv lens/es | 288 | 284 | $0.00 |
| 92342 | 143 | 143 | $0.00 | |
| V2756 | Eye glass case | 143 | 143 | $0.00 |