NPI: 1083849954 · NEW YORK, NY 10037 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 302 | $9K |
| 2019 | 701 | $19K |
| 2020 | 2,027 | $35K |
| 2021 | 3,408 | $58K |
| 2022 | 128 | $3K |
| 2023 | 62 | $2K |
| 2024 | 1,004 | $24K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92250 | 1,020 | 1,007 | $46K | |
| V2100 | Lens spher single plano 4.00 | 1,509 | 1,002 | $24K |
| 92004 | 911 | 890 | $23K | |
| 92082 | 497 | 491 | $20K | |
| V2020 | Vision svcs frames purchases | 1,367 | 1,351 | $17K |
| 92014 | 148 | 148 | $5K | |
| 99213 | 112 | 102 | $4K | |
| 92083 | 69 | 68 | $3K | |
| 99214 | 50 | 50 | $3K | |
| 92133 | 71 | 70 | $2K | |
| V2200 | Lens spher bifoc plano 4.00d | 47 | 25 | $1K |
| 99212 | 46 | 41 | $1K | |
| 92015 | 828 | 820 | $597.20 | |
| V2784 | Lens polycarb or equal | 681 | 351 | $194.00 |
| V2103 | Spherocylindr 4.00d/12-2.00d | 20 | 13 | $137.50 |
| V2755 | Uv lens/es | 256 | 127 | $0.00 |