NPI: 1154471712 · FAIRHAVEN, MA 02719 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 12,784 | $396K |
| 2019 | 1,240 | $30K |
| 2020 | 1,713 | $42K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99214 | 1,171 | 1,071 | $77K | |
| 99213 | 1,381 | 1,175 | $65K | |
| 92015 | 2,304 | 2,160 | $53K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 711 | 664 | $33K |
| V2020 | Vision svcs frames purchases | 1,876 | 1,794 | $30K |
| S0580 | Polycarb lens | 1,298 | 1,205 | $24K |
| 92340 | 1,369 | 1,270 | $23K | |
| 92370 | 2,205 | 2,049 | $18K | |
| 99203 | 233 | 215 | $18K | |
| V2303 | Lens sphcy trifocal 4.0/.12- | 197 | 187 | $18K |
| 92014 | 427 | 420 | $16K | |
| 68761 | 69 | 54 | $13K | |
| 92250 | 312 | 254 | $10K | |
| V2100 | Lens spher single plano 4.00 | 230 | 221 | $10K |
| 92004 | 172 | 161 | $9K | |
| V2203 | Lens sphcyl bifocal 4.00d/.1 | 116 | 109 | $8K |
| 92342 | 321 | 301 | $7K | |
| 92012 | 217 | 206 | $6K | |
| 92083 | 191 | 158 | $6K | |
| 92341 | 265 | 250 | $5K | |
| 92133 | 194 | 156 | $5K | |
| 92225 | 99 | 86 | $3K | |
| 92226 | 131 | 106 | $2K | |
| 92134 | 90 | 80 | $2K | |
| 92025 | 59 | 57 | $1K | |
| V2104 | Spherocylindr 4.00d/2.12-4d | 16 | 16 | $804.96 |
| 99212 | 22 | 17 | $780.86 | |
| 76514 | 44 | 38 | $307.04 | |
| V2756 | Eye glass case | 17 | 17 | $90.00 |