NPI: 1164762449 · BROOKLYN, NY 11220 · 261Q00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 10,113 | $712K |
| 2019 | 9,443 | $649K |
| 2020 | 6,287 | $411K |
| 2021 | 8,274 | $569K |
| 2022 | 8,360 | $587K |
| 2023 | 8,128 | $559K |
| 2024 | 6,274 | $429K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 11,317 | 11,313 | $1.50M | |
| 92004 | 5,509 | 5,509 | $867K | |
| 92012 | 7,453 | 7,062 | $691K | |
| 92083 | 2,688 | 2,686 | $181K | |
| 92250 | 3,460 | 3,459 | $159K | |
| 92133 | 3,546 | 3,539 | $135K | |
| 92226 | 3,596 | 1,799 | $94K | |
| 92225 | 2,350 | 1,177 | $67K | |
| 92202 | 4,139 | 3,987 | $65K | |
| 92134 | 1,327 | 1,322 | $56K | |
| 92201 | 2,168 | 2,157 | $55K | |
| 92020 | 499 | 498 | $14K | |
| 92002 | 152 | 152 | $13K | |
| 68761 | 51 | 51 | $12K | |
| V2020 | Vision svcs frames purchases | 717 | 715 | $3K |
| 76514 | 422 | 422 | $3K | |
| V2100 | Lens spher single plano 4.00 | 240 | 120 | $2K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 214 | 107 | $1K |
| 95060 | 86 | 86 | $41.60 | |
| 99072 | 185 | 177 | $0.00 | |
| 92015 | 6,760 | 6,751 | $0.00 |