NPI: 1174641138 · ELIZABETH, NJ 07208 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,491 | $36K |
| 2019 | 1,191 | $28K |
| 2020 | 1,678 | $46K |
| 2021 | 1,202 | $30K |
| 2022 | 1,001 | $16K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92004 | 1,852 | 1,840 | $62K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 1,526 | 1,520 | $31K |
| V2020 | Vision svcs frames purchases | 1,725 | 1,719 | $26K |
| 92250 | 429 | 427 | $18K | |
| 92285 | 442 | 381 | $9K | |
| V2784 | Lens polycarb or equal | 405 | 400 | $4K |
| 92025 | 87 | 87 | $2K | |
| 92082 | 26 | 26 | $1K | |
| S0620 | Routine ophthalmological exa | 28 | 28 | $1K |
| 92083 | 18 | 18 | $837.00 | |
| V2203 | Lens sphcyl bifocal 4.00d/.1 | 25 | 25 | $567.50 |