NPI: 1164465795 · KINGSTON, PA 18704 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 938 | $21K |
| 2021 | 4,329 | $104K |
| 2022 | 6,385 | $149K |
| 2023 | 7,722 | $175K |
| 2024 | 9,120 | $247K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2784 | Lens polycarb or equal | 5,985 | 2,802 | $180K |
| V2783 | Lens, >= 1.66 p/>=1.80 g | 2,684 | 1,118 | $120K |
| 92014 | 2,063 | 2,011 | $93K | |
| 92004 | 1,556 | 1,536 | $91K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 4,451 | 2,231 | $79K |
| V2020 | Vision svcs frames purchases | 4,118 | 3,693 | $29K |
| 92015 | 4,316 | 4,225 | $26K | |
| 92012 | 560 | 548 | $20K | |
| V2100 | Lens spher single plano 4.00 | 1,132 | 612 | $17K |
| V2203 | Lens sphcyl bifocal 4.00d/.1 | 408 | 213 | $8K |
| 99214 | 177 | 165 | $7K | |
| 99213 | 206 | 186 | $6K | |
| V2104 | Spherocylindr 4.00d/2.12-4d | 337 | 185 | $6K |
| 92002 | 154 | 152 | $5K | |
| 92310 | 92 | 90 | $5K | |
| V2025 | Eyeglasses delux frames | 255 | 233 | $3K |