NPI: 1053733766 · EASTON, PA 18045 · 332H00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 1,214 | $31K |
| 2021 | 8,643 | $195K |
| 2022 | 6,208 | $140K |
| 2023 | 8,364 | $179K |
| 2024 | 8,226 | $201K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2100 | Lens spher single plano 4.00 | 11,833 | 6,130 | $370K |
| V2020 | Vision svcs frames purchases | 7,907 | 6,864 | $158K |
| 92004 | 2,515 | 2,472 | $101K | |
| 92014 | 2,074 | 2,016 | $83K | |
| V2784 | Lens polycarb or equal | 5,117 | 2,399 | $12K |
| 92340 | 419 | 376 | $9K | |
| 92012 | 108 | 108 | $4K | |
| V2755 | Uv lens/es | 590 | 236 | $3K |
| V2750 | Anti-reflective coating | 1,920 | 1,048 | $3K |
| V2200 | Lens spher bifoc plano 4.00d | 25 | 13 | $946.21 |
| S0500 | Dispos cont lens | 16 | 16 | $585.00 |
| S0620 | Routine ophthalmological exa | 12 | 12 | $360.00 |
| V2744 | Tint photochromatic lens/es | 119 | 69 | $0.00 |