NPI: 1215376199 · BROOKLYN, NY 11205 · 156FX1800X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 17,420 | $683K |
| 2019 | 8,767 | $227K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92065 | 5,620 | 1,513 | $261K | |
| 92004 | 2,726 | 2,690 | $169K | |
| 92014 | 1,945 | 1,919 | $109K | |
| 92015 | 2,793 | 2,705 | $91K | |
| 92012 | 1,632 | 1,532 | $87K | |
| 99211 | 3,709 | 905 | $69K | |
| 92060 | 906 | 891 | $45K | |
| 97110 | 398 | 144 | $32K | |
| 92340 | 1,373 | 1,362 | $16K | |
| 92250 | 329 | 324 | $14K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 1,160 | 584 | $3K |
| 92545 | 195 | 85 | $3K | |
| 99213 | 64 | 56 | $3K | |
| 92002 | 79 | 79 | $2K | |
| 92225 | 92 | 48 | $1K | |
| 92341 | 129 | 128 | $1K | |
| V2100 | Lens spher single plano 4.00 | 528 | 271 | $748.44 |
| V2020 | Vision svcs frames purchases | 258 | 258 | $546.61 |
| V2107 | Spherocylinder 4.25d/12-2d | 132 | 66 | $451.88 |
| 92133 | 14 | 14 | $450.72 | |
| 96110 | 41 | 41 | $380.00 | |
| V2784 | Lens polycarb or equal | 2,064 | 1,036 | $173.12 |