NPI: 1225390446 · BETHESDA, MD 20817 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 1,516 | $25K |
| 2021 | 2,302 | $30K |
| 2022 | 2,545 | $32K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2020 | Vision svcs frames purchases | 2,263 | 2,228 | $29K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 1,226 | 1,210 | $22K |
| V2784 | Lens polycarb or equal | 1,917 | 1,894 | $17K |
| 92014 | 394 | 379 | $8K | |
| 92012 | 188 | 184 | $4K | |
| V2104 | Spherocylindr 4.00d/2.12-4d | 213 | 213 | $4K |
| V2100 | Lens spher single plano 4.00 | 115 | 112 | $2K |
| 92004 | 16 | 14 | $220.00 | |
| V2750 | Anti-reflective coating | 31 | 30 | $0.00 |