NPI: 1255561601 · ARLINGTON, VA 22205 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 73 | $5K |
| 2019 | 806 | $19K |
| 2020 | 1,278 | $22K |
| 2021 | 2,237 | $39K |
| 2022 | 2,355 | $42K |
| 2023 | 3,047 | $55K |
| 2024 | 1,941 | $34K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2100 | Lens spher single plano 4.00 | 2,364 | 2,289 | $63K |
| 92014 | 1,135 | 1,094 | $45K | |
| 92004 | 1,124 | 1,117 | $45K | |
| V2020 | Vision svcs frames purchases | 2,203 | 2,131 | $44K |
| V2784 | Lens polycarb or equal | 2,269 | 2,195 | $14K |
| S0621 | Routine ophthalmological exa | 72 | 72 | $3K |
| S0620 | Routine ophthalmological exa | 34 | 34 | $2K |
| V2025 | Eyeglasses delux frames | 13 | 13 | $195.00 |
| 92015 | 2,523 | 2,468 | $0.00 |