NPI: 1144878778 · BRONX, NY 10455 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 3,366 | $69K |
| 2021 | 6,018 | $164K |
| 2022 | 6,832 | $201K |
| 2023 | 8,067 | $239K |
| 2024 | 2,710 | $81K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92250 | 3,642 | 3,629 | $160K | |
| 99203 | 2,406 | 2,403 | $140K | |
| 92285 | 3,050 | 3,033 | $83K | |
| V2100 | Lens spher single plano 4.00 | 5,003 | 2,508 | $77K |
| V2020 | Vision svcs frames purchases | 3,986 | 3,909 | $71K |
| 92004 | 655 | 653 | $48K | |
| V2200 | Lens spher bifoc plano 4.00d | 2,042 | 1,023 | $39K |
| 99213 | 636 | 634 | $23K | |
| 92012 | 551 | 505 | $22K | |
| 92083 | 404 | 395 | $19K | |
| 92133 | 659 | 657 | $17K | |
| 99212 | 686 | 665 | $16K | |
| 92014 | 222 | 220 | $13K | |
| 92202 | 404 | 361 | $11K | |
| 92132 | 341 | 336 | $8K | |
| 92060 | 152 | 152 | $5K | |
| 76514 | 371 | 370 | $2K | |
| 92134 | 31 | 31 | $516.06 | |
| 92020 | 14 | 14 | $210.14 | |
| V2784 | Lens polycarb or equal | 1,703 | 841 | $36.00 |
| V2025 | Eyeglasses delux frames | 35 | 35 | $0.00 |