NPI: 1114053196 · METAIRIE, LA 70005 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 701 | $29K |
| 2019 | 578 | $25K |
| 2020 | 246 | $9K |
| 2021 | 282 | $10K |
| 2022 | 451 | $17K |
| 2023 | 528 | $15K |
| 2024 | 168 | $4K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92004 | 415 | 377 | $34K | |
| 92014 | 430 | 397 | $28K | |
| V2025 | Eyeglasses delux frames | 407 | 394 | $24K |
| V2100 | Lens spher single plano 4.00 | 421 | 390 | $8K |
| V2020 | Vision svcs frames purchases | 359 | 337 | $7K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 216 | 211 | $4K |
| 99211 | 324 | 319 | $4K | |
| 92340 | 28 | 28 | $14.82 | |
| 92015 | 330 | 280 | $9.50 | |
| V2750 | Anti-reflective coating | 24 | 24 | $0.00 |