NPI: 1184355836 · PROVIDENCE, RI 02903 · 390200000X
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 4,633 | $143K |
| 2024 | 12,130 | $377K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99214 | 2,108 | 2,086 | $148K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 2,235 | 1,311 | $55K |
| V2020 | Vision svcs frames purchases | 2,023 | 1,998 | $38K |
| 99203 | 461 | 457 | $37K | |
| 92340 | 1,845 | 1,822 | $32K | |
| 99213 | 661 | 618 | $31K | |
| 92014 | 658 | 648 | $27K | |
| 92004 | 419 | 412 | $23K | |
| 92015 | 1,072 | 1,022 | $23K | |
| S0580 | Polycarb lens | 2,168 | 1,073 | $19K |
| 92250 | 525 | 516 | $17K | |
| V2100 | Lens spher single plano 4.00 | 625 | 455 | $16K |
| 99212 | 348 | 339 | $12K | |
| V2781 | Progressive lens per lens | 170 | 86 | $12K |
| V2104 | Spherocylindr 4.00d/2.12-4d | 308 | 197 | $8K |
| 92370 | 524 | 511 | $6K | |
| V2303 | Lens sphcy trifocal 4.0/.12- | 115 | 66 | $5K |
| V2203 | Lens sphcyl bifocal 4.00d/.1 | 94 | 52 | $4K |
| 92342 | 143 | 141 | $3K | |
| 92133 | 107 | 105 | $2K | |
| 92341 | 66 | 66 | $1K | |
| 92012 | 44 | 43 | $1K | |
| 92083 | 24 | 24 | $808.70 | |
| V2107 | Spherocylinder 4.25d/12-2d | 20 | 14 | $538.76 |