NPI: 1043785363 · SPRINGFIELD, MA 01104 · 332H00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 6,915 | $703K |
| 2020 | 3,453 | $336K |
| 2021 | 5,329 | $504K |
| 2022 | 3,358 | $282K |
| 2023 | 2,193 | $201K |
| 2024 | 114 | $4K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2020 | Vision svcs frames purchases | 8,071 | 6,526 | $1.08M |
| V2203 | Lens sphcyl bifocal 4.00d/.1 | 3,791 | 3,367 | $317K |
| V2781 | Progressive lens per lens | 1,223 | 1,114 | $197K |
| V2100 | Lens spher single plano 4.00 | 2,784 | 2,180 | $169K |
| V2784 | Lens polycarb or equal | 2,805 | 2,477 | $121K |
| V2799 | Misc vision item or service | 947 | 933 | $93K |
| 92341 | 951 | 945 | $33K | |
| 92340 | 418 | 414 | $10K | |
| V2745 | Tint, any color/solid/grad | 220 | 220 | $4K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 41 | 28 | $2K |
| 92370 | 111 | 111 | $1K |