NPI: 1053503912 · SPRINGFIELD, MA 01104 · 207W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 35,781 | $1.74M |
| 2019 | 25,848 | $1.13M |
| 2020 | 10,241 | $367K |
| 2021 | 4,295 | $257K |
| 2022 | 5,458 | $304K |
| 2023 | 5,184 | $306K |
| 2024 | 4,283 | $167K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 23,373 | 22,935 | $1.48M | |
| V2020 | Vision svcs frames purchases | 3,480 | 2,959 | $378K |
| 92340 | 11,521 | 11,459 | $323K | |
| 92004 | 4,078 | 4,020 | $271K | |
| 92341 | 7,540 | 7,517 | $262K | |
| V2781 | Progressive lens per lens | 1,164 | 1,151 | $226K |
| 92012 | 4,399 | 4,051 | $218K | |
| 92015 | 16,411 | 16,172 | $205K | |
| V2799 | Misc vision item or service | 1,440 | 1,417 | $144K |
| 66984 | 1,026 | 800 | $127K | |
| 92250 | 3,221 | 2,927 | $103K | |
| 92083 | 2,523 | 2,374 | $100K | |
| V2784 | Lens polycarb or equal | 1,823 | 1,739 | $81K |
| V2203 | Lens sphcyl bifocal 4.00d/.1 | 910 | 894 | $79K |
| V2100 | Lens spher single plano 4.00 | 1,246 | 881 | $75K |
| 92133 | 2,392 | 2,290 | $61K | |
| 92136 | 1,687 | 1,465 | $58K | |
| 92285 | 1,382 | 1,281 | $32K | |
| 92134 | 880 | 841 | $18K | |
| 66982 | 61 | 56 | $16K | |
| V2025 | Eyeglasses delux frames | 134 | 134 | $3K |
| 99213 | 154 | 143 | $2K | |
| 66821 | 14 | 12 | $1K | |
| 92370 | 110 | 108 | $1K | |
| V2107 | Spherocylinder 4.25d/12-2d | 13 | 13 | $853.75 |
| 92020 | 13 | 13 | $249.62 | |
| V2744 | Tint photochromatic lens/es | 12 | 12 | $32.40 |
| 99024 | 83 | 82 | $0.00 |