NPI: 1205106648 · BALTIMORE, MD 21208 · 152WP0200X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 22,229 | $281K |
| 2021 | 24,017 | $375K |
| 2022 | 17,347 | $221K |
| 2023 | 264 | $2K |
| 2024 | 430 | $41K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 7,038 | 6,123 | $312K | |
| 92004 | 3,082 | 2,724 | $156K | |
| V2020 | Vision svcs frames purchases | 11,079 | 9,583 | $131K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 8,296 | 7,132 | $127K |
| V2784 | Lens polycarb or equal | 10,916 | 9,450 | $88K |
| 99204 | 217 | 213 | $36K | |
| V2104 | Spherocylindr 4.00d/2.12-4d | 1,638 | 1,426 | $19K |
| 92340 | 7,857 | 6,516 | $16K | |
| V2410 | Lens variab asphericity sing | 4,981 | 4,284 | $14K |
| V2100 | Lens spher single plano 4.00 | 897 | 792 | $12K |
| V2107 | Spherocylinder 4.25d/12-2d | 745 | 648 | $10K |
| V2105 | Spherocylinder 4.00d/4.25-6d | 91 | 79 | $867.50 |
| V2108 | Spherocylinder 4.25d/2.12-4d | 49 | 42 | $542.50 |
| 92015 | 7,401 | 6,221 | $28.33 |