NPI: 1134183932 · WEST COLUMBIA, SC 29169 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,699 | $38K |
| 2019 | 1,252 | $22K |
| 2020 | 749 | $13K |
| 2021 | 423 | $13K |
| 2022 | 1,302 | $40K |
| 2023 | 106 | $4K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 737 | 737 | $45K | |
| V2020 | Vision svcs frames purchases | 861 | 856 | $19K |
| 92004 | 272 | 272 | $17K | |
| 92015 | 1,461 | 1,461 | $16K | |
| 92340 | 844 | 839 | $16K | |
| V2784 | Lens polycarb or equal | 861 | 856 | $7K |
| V2199 | Lens single vision not oth c | 150 | 148 | $6K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 345 | 344 | $4K |