NPI: 1134484181 · ALLENTOWN, PA 18109 · 332H00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 761 | $19K |
| 2019 | 55 | $3K |
| 2020 | 2,932 | $72K |
| 2021 | 9,655 | $228K |
| 2022 | 9,306 | $234K |
| 2023 | 11,236 | $255K |
| 2024 | 10,997 | $284K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2100 | Lens spher single plano 4.00 | 16,406 | 8,574 | $544K |
| V2020 | Vision svcs frames purchases | 10,859 | 9,442 | $227K |
| 92004 | 4,505 | 4,433 | $181K | |
| 92014 | 2,207 | 2,151 | $89K | |
| V2784 | Lens polycarb or equal | 6,993 | 3,329 | $21K |
| 92012 | 297 | 297 | $12K | |
| 92340 | 251 | 251 | $6K | |
| V2750 | Anti-reflective coating | 2,249 | 1,210 | $5K |
| V2300 | Lens sphere trifocal 4.00d | 89 | 48 | $4K |
| V2755 | Uv lens/es | 796 | 346 | $4K |
| V2025 | Eyeglasses delux frames | 12 | 12 | $845.85 |
| S0621 | Routine ophthalmological exa | 15 | 15 | $450.00 |
| V2744 | Tint photochromatic lens/es | 222 | 128 | $398.06 |
| V2799 | Misc vision item or service | 28 | 16 | $0.00 |
| S0500 | Dispos cont lens | 13 | 13 | $0.00 |