NPI: 1063579837 · ERIE, PA 16565 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 70 | $3K |
| 2019 | 107 | $3K |
| 2020 | 610 | $18K |
| 2021 | 1,517 | $55K |
| 2022 | 2,411 | $89K |
| 2023 | 1,133 | $54K |
| 2024 | 1,052 | $47K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2020 | Vision svcs frames purchases | 2,766 | 2,285 | $147K |
| V2100 | Lens spher single plano 4.00 | 2,306 | 1,913 | $66K |
| V2784 | Lens polycarb or equal | 745 | 651 | $29K |
| V2750 | Anti-reflective coating | 343 | 280 | $12K |
| V2500 | Contact lens pmma spherical | 166 | 125 | $11K |
| 92004 | 55 | 55 | $2K | |
| 92340 | 61 | 61 | $2K | |
| 92014 | 29 | 29 | $1K | |
| V2799 | Misc vision item or service | 429 | 304 | $0.00 |