NPI: 1245299064 · KINGSTON, PA 18704 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 754 | $16K |
| 2021 | 2,233 | $49K |
| 2022 | 1,830 | $39K |
| 2023 | 1,075 | $22K |
| 2024 | 1,476 | $39K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2784 | Lens polycarb or equal | 1,975 | 948 | $61K |
| 92014 | 1,020 | 999 | $43K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 933 | 492 | $17K |
| V2783 | Lens, >= 1.66 p/>=1.80 g | 359 | 138 | $16K |
| V2020 | Vision svcs frames purchases | 1,183 | 1,074 | $8K |
| 92015 | 1,313 | 1,287 | $8K | |
| V2100 | Lens spher single plano 4.00 | 399 | 193 | $6K |
| 99213 | 174 | 169 | $5K | |
| 92004 | 12 | 12 | $705.24 |