NPI: 1215258157 · DULUTH, GA 30096 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 968 | $4K |
| 2019 | 984 | $33K |
| 2020 | 1,399 | $64K |
| 2021 | 666 | $32K |
| 2023 | 5,033 | $161K |
| 2024 | 1,869 | $28K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2020 | Vision svcs frames purchases | 2,570 | 2,250 | $94K |
| V2781 | Progressive lens per lens | 1,075 | 955 | $74K |
| V2744 | Tint photochromatic lens/es | 1,456 | 1,310 | $52K |
| V2750 | Anti-reflective coating | 1,892 | 1,722 | $44K |
| V2784 | Lens polycarb or equal | 1,908 | 1,657 | $38K |
| V2200 | Lens spher bifoc plano 4.00d | 367 | 325 | $8K |
| V2100 | Lens spher single plano 4.00 | 623 | 455 | $5K |
| V2799 | Misc vision item or service | 151 | 137 | $3K |
| V2430 | Lens variable asphericity bi | 238 | 177 | $3K |
| V2025 | Eyeglasses delux frames | 49 | 49 | $2K |
| V2783 | Lens, >= 1.66 p/>=1.80 g | 41 | 40 | $976.20 |
| 92004 | 35 | 17 | $240.00 | |
| V2797 | Vis item/svc in other code | 514 | 426 | $0.00 |