NPI: 1063601912 · WASHINGTON, PA 15301 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 1,892 | $54K |
| 2022 | 3,374 | $101K |
| 2023 | 1,468 | $39K |
| 2024 | 1,635 | $38K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| S0620 | Routine ophthalmological exa | 2,122 | 2,115 | $87K |
| V2020 | Vision svcs frames purchases | 1,013 | 926 | $64K |
| V2025 | Eyeglasses delux frames | 510 | 371 | $46K |
| S0621 | Routine ophthalmological exa | 478 | 452 | $14K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 503 | 462 | $13K |
| 92310 | 142 | 140 | $5K | |
| V2203 | Lens sphcyl bifocal 4.00d/.1 | 69 | 55 | $2K |
| V2100 | Lens spher single plano 4.00 | 30 | 25 | $668.00 |
| 92004 | 12 | 12 | $420.00 | |
| 92015 | 2,885 | 2,823 | $0.00 | |
| V2799 | Misc vision item or service | 605 | 387 | $0.00 |