NPI: 1073659959 · KAPOLEI, HI 96707 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,400 | $36K |
| 2019 | 2,022 | $59K |
| 2020 | 1,336 | $44K |
| 2021 | 1,506 | $45K |
| 2022 | 437 | $9K |
| 2023 | 1,050 | $21K |
| 2024 | 1,215 | $28K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 1,747 | 1,684 | $85K | |
| V2020 | Vision svcs frames purchases | 529 | 464 | $34K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 606 | 498 | $29K |
| 92015 | 2,962 | 2,499 | $21K | |
| V2784 | Lens polycarb or equal | 456 | 385 | $20K |
| 99213 | 338 | 309 | $15K | |
| 92004 | 224 | 219 | $14K | |
| 92340 | 572 | 508 | $13K | |
| 92012 | 192 | 164 | $7K | |
| 92250 | 51 | 50 | $2K | |
| V2756 | Eye glass case | 1,025 | 915 | $1K |
| V2025 | Eyeglasses delux frames | 162 | 145 | $845.62 |
| 99072 | 42 | 39 | $718.88 | |
| V2100 | Lens spher single plano 4.00 | 36 | 36 | $0.00 |
| V2499 | Variable asphericity lens | 24 | 24 | $0.00 |