NPI: 1144261215 · BALTIMORE, MD 21228 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 11,305 | $151K |
| 2021 | 13,565 | $190K |
| 2022 | 13,248 | $147K |
| 2023 | 12,685 | $195K |
| 2024 | 4,774 | $90K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2020 | Vision svcs frames purchases | 13,365 | 12,565 | $175K |
| 92004 | 7,865 | 7,495 | $152K | |
| V2100 | Lens spher single plano 4.00 | 10,208 | 9,601 | $129K |
| S0620 | Routine ophthalmological exa | 2,149 | 1,976 | $98K |
| 92014 | 2,665 | 2,411 | $66K | |
| 92340 | 1,844 | 1,711 | $44K | |
| V2200 | Lens spher bifoc plano 4.00d | 1,411 | 1,348 | $39K |
| V2784 | Lens polycarb or equal | 6,254 | 5,895 | $31K |
| 92002 | 1,435 | 1,343 | $20K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 297 | 256 | $7K |
| 92015 | 6,064 | 5,628 | $5K | |
| V2781 | Progressive lens per lens | 85 | 81 | $2K |
| V2299 | Lens bifocal speciality | 92 | 85 | $2K |
| 92310 | 52 | 50 | $2K | |
| 92342 | 31 | 30 | $994.54 | |
| V2104 | Spherocylindr 4.00d/2.12-4d | 50 | 48 | $502.72 |
| V2744 | Tint photochromatic lens/es | 239 | 229 | $0.00 |
| 3072F | 40 | 40 | $0.00 | |
| V2750 | Anti-reflective coating | 1,289 | 1,221 | $0.00 |
| 2024F | 142 | 137 | $0.00 |