NPI: 1184665341 · ROCKVILLE, MD 20852 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 2,301 | $37K |
| 2021 | 3,348 | $49K |
| 2022 | 2,715 | $37K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2100 | Lens spher single plano 4.00 | 1,887 | 1,833 | $33K |
| 92014 | 1,594 | 1,493 | $32K | |
| V2020 | Vision svcs frames purchases | 2,001 | 1,942 | $28K |
| 92004 | 915 | 857 | $19K | |
| V2784 | Lens polycarb or equal | 1,435 | 1,390 | $10K |
| V2750 | Anti-reflective coating | 476 | 458 | $0.00 |
| 2024F | 19 | 19 | $0.00 | |
| 92015 | 37 | 37 | $0.00 |