NPI: 1073614004 · BOSTON, MA 02111 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 8,349 | $213K |
| 2019 | 6,700 | $200K |
| 2020 | 2,599 | $152K |
| 2021 | 4,248 | $218K |
| 2022 | 4,491 | $231K |
| 2023 | 4,136 | $181K |
| 2024 | 2,744 | $164K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2020 | Vision svcs frames purchases | 4,138 | 4,135 | $469K |
| 92340 | 6,544 | 3,846 | $187K | |
| 92014 | 5,567 | 5,478 | $167K | |
| 92015 | 8,278 | 8,167 | $130K | |
| V2203 | Lens sphcyl bifocal 4.00d/.1 | 2,212 | 2,209 | $122K |
| 99214 | 1,042 | 1,039 | $57K | |
| 92004 | 1,552 | 1,515 | $52K | |
| V2200 | Lens spher bifoc plano 4.00d | 1,120 | 1,120 | $51K |
| 99204 | 445 | 445 | $39K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 354 | 354 | $29K |
| 92012 | 1,328 | 1,255 | $24K | |
| V2100 | Lens spher single plano 4.00 | 171 | 171 | $17K |
| 92341 | 313 | 309 | $13K | |
| V2781 | Progressive lens per lens | 87 | 87 | $2K |
| 99213 | 14 | 14 | $861.00 | |
| V2784 | Lens polycarb or equal | 102 | 102 | $0.00 |