NPI: 1245883297 · LEESBURG, FL 34748 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 766 | $12K |
| 2022 | 2,983 | $48K |
| 2023 | 3,180 | $54K |
| 2024 | 1,422 | $21K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92004 | 985 | 935 | $75K | |
| 92014 | 564 | 540 | $44K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 844 | 793 | $5K |
| V2020 | Vision svcs frames purchases | 1,462 | 1,373 | $5K |
| 92015 | 1,673 | 1,592 | $3K | |
| 92340 | 1,209 | 1,140 | $2K | |
| V2100 | Lens spher single plano 4.00 | 232 | 228 | $966.38 |
| 92250 | 1,369 | 1,306 | $27.91 | |
| V2799 | Misc vision item or service | 13 | 13 | $0.00 |