NPI: 1063170959 · NEW YORK, NY 10033 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 3,760 | $112K |
| 2023 | 8,572 | $270K |
| 2024 | 3,863 | $110K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2020 | Vision svcs frames purchases | 3,016 | 2,999 | $92K |
| V2100 | Lens spher single plano 4.00 | 3,786 | 2,159 | $76K |
| 92250 | 1,701 | 1,697 | $75K | |
| 92004 | 1,379 | 1,366 | $61K | |
| 92002 | 1,466 | 1,460 | $58K | |
| 92285 | 1,270 | 1,264 | $36K | |
| 92083 | 630 | 626 | $29K | |
| V2200 | Lens spher bifoc plano 4.00d | 1,184 | 648 | $27K |
| 92014 | 325 | 318 | $18K | |
| 92133 | 196 | 196 | $6K | |
| 76514 | 691 | 689 | $5K | |
| 76512 | 34 | 28 | $2K | |
| 92020 | 172 | 172 | $2K | |
| 92081 | 57 | 57 | $2K | |
| 92132 | 64 | 64 | $2K | |
| 92015 | 12 | 12 | $38.00 | |
| V2784 | Lens polycarb or equal | 212 | 105 | $0.00 |