NPI: 1073997052 · EAST MEADOW, NY 11554 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 3,958 | $56K |
| 2021 | 3,188 | $63K |
| 2022 | 1,424 | $14K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2020 | Vision svcs frames purchases | 2,131 | 1,937 | $31K |
| S0621 | Routine ophthalmological exa | 559 | 552 | $27K |
| 92014 | 1,079 | 1,035 | $20K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 1,433 | 1,105 | $20K |
| 92340 | 461 | 458 | $13K | |
| V2784 | Lens polycarb or equal | 1,418 | 1,035 | $8K |
| 92004 | 255 | 244 | $5K | |
| V2203 | Lens sphcyl bifocal 4.00d/.1 | 132 | 120 | $4K |
| S0620 | Routine ophthalmological exa | 46 | 46 | $2K |
| 92341 | 52 | 52 | $2K | |
| V2100 | Lens spher single plano 4.00 | 108 | 89 | $1K |
| V2104 | Spherocylindr 4.00d/2.12-4d | 40 | 26 | $417.50 |
| 92015 | 856 | 794 | $0.00 |