NPI: 1134110240 · JACKSONVILLE, FL 32205 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 25 | $317.06 |
| 2019 | 4,812 | $105K |
| 2020 | 3,008 | $86K |
| 2021 | 6,593 | $169K |
| 2022 | 15,453 | $290K |
| 2023 | 11,252 | $360K |
| 2024 | 10,902 | $343K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 7,485 | 6,207 | $772K | |
| 92004 | 2,746 | 2,342 | $342K | |
| 99213 | 1,805 | 1,488 | $85K | |
| 92015 | 10,288 | 8,606 | $51K | |
| V2020 | Vision svcs frames purchases | 8,132 | 6,886 | $46K |
| 92340 | 7,859 | 6,634 | $20K | |
| 68761 | 110 | 55 | $9K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 3,577 | 2,986 | $7K |
| V2784 | Lens polycarb or equal | 4,765 | 4,079 | $7K |
| 92250 | 570 | 493 | $5K | |
| V2100 | Lens spher single plano 4.00 | 2,678 | 2,212 | $5K |
| 92020 | 390 | 369 | $1K | |
| 2023F | 186 | 176 | $950.00 | |
| 92083 | 295 | 235 | $830.98 | |
| 92133 | 251 | 213 | $335.36 | |
| V2104 | Spherocylindr 4.00d/2.12-4d | 94 | 79 | $246.60 |
| 92341 | 12 | 12 | $180.00 | |
| 76514 | 213 | 206 | $50.65 | |
| V2200 | Lens spher bifoc plano 4.00d | 12 | 12 | $42.50 |
| V2755 | Uv lens/es | 26 | 26 | $24.00 |
| V2107 | Spherocylinder 4.25d/12-2d | 14 | 14 | $19.22 |
| V2745 | Tint, any color/solid/grad | 26 | 26 | $6.00 |
| 2022F | 144 | 144 | $0.00 | |
| G0117 | Glaucoma scrn hgh risk direc | 145 | 145 | $0.00 |
| 92342 | 111 | 111 | $0.00 | |
| V2756 | Eye glass case | 111 | 111 | $0.00 |