NPI: 1174873095 · POTTSTOWN, PA 19464 · 332H00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 1,198 | $33K |
| 2021 | 7,803 | $190K |
| 2022 | 4,322 | $119K |
| 2023 | 6,790 | $168K |
| 2024 | 6,635 | $159K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2100 | Lens spher single plano 4.00 | 10,099 | 4,845 | $257K |
| V2020 | Vision svcs frames purchases | 6,741 | 5,266 | $177K |
| 92014 | 3,062 | 2,987 | $127K | |
| 92004 | 1,368 | 1,303 | $56K | |
| 92340 | 1,115 | 859 | $25K | |
| V2784 | Lens polycarb or equal | 3,792 | 1,859 | $22K |
| V2755 | Uv lens/es | 289 | 101 | $2K |
| V2750 | Anti-reflective coating | 115 | 54 | $1K |
| 92015 | 167 | 165 | $727.80 |