NPI: 1053383745 · KEENE, NH 03431 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 5,626 | $121K |
| 2019 | 6,381 | $141K |
| 2020 | 3,683 | $84K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2020 | Vision svcs frames purchases | 2,853 | 2,630 | $86K |
| 92340 | 2,171 | 2,010 | $54K | |
| 92015 | 2,535 | 2,341 | $51K | |
| 92012 | 1,306 | 1,244 | $49K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 1,550 | 1,426 | $28K |
| 92002 | 657 | 612 | $27K | |
| V2784 | Lens polycarb or equal | 2,692 | 2,484 | $14K |
| 92341 | 375 | 351 | $12K | |
| V2203 | Lens sphcyl bifocal 4.00d/.1 | 208 | 195 | $6K |
| V2100 | Lens spher single plano 4.00 | 606 | 547 | $5K |
| 92014 | 126 | 118 | $5K | |
| 92250 | 295 | 278 | $4K | |
| 92370 | 202 | 182 | $2K | |
| 00000 | 56 | 17 | $1K | |
| 92004 | 13 | 13 | $850.63 | |
| V2104 | Spherocylindr 4.00d/2.12-4d | 29 | 28 | $416.25 |
| V2760 | Scratch resistant coating | 16 | 14 | $0.00 |