NPI: 1245717065 · RONCEVERTE, WV 24970 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 4,107 | $152K |
| 2020 | 5,286 | $183K |
| 2021 | 4,659 | $157K |
| 2022 | 2,007 | $92K |
| 2023 | 1,970 | $73K |
| 2024 | 2,227 | $74K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 4,396 | 4,112 | $278K | |
| 92004 | 1,509 | 1,469 | $140K | |
| 99213 | 2,594 | 2,106 | $76K | |
| V2020 | Vision svcs frames purchases | 828 | 818 | $57K |
| 92133 | 1,805 | 1,723 | $52K | |
| 92015 | 2,170 | 2,023 | $24K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 594 | 584 | $24K |
| S0580 | Polycarb lens | 665 | 655 | $18K |
| G8427 | Docrev cur meds by elig clin | 2,179 | 2,064 | $18K |
| 1036F | 1,481 | 1,402 | $15K | |
| 4040F | 698 | 677 | $8K | |
| 92134 | 257 | 238 | $6K | |
| 92250 | 130 | 128 | $5K | |
| 92083 | 86 | 82 | $4K | |
| 2022F | 212 | 210 | $3K | |
| V2100 | Lens spher single plano 4.00 | 104 | 103 | $3K |
| 92273 | 80 | 54 | $726.38 | |
| 4004F | 26 | 26 | $572.30 | |
| 92020 | 13 | 13 | $126.60 | |
| G8484 | Flu immunize no admin | 103 | 96 | $0.00 |
| G8482 | Flu immunize order/admin | 326 | 316 | $0.00 |