NPI: 1265420921 · LINTHICUM, MD 21090 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 7,004 | $141K |
| 2021 | 6,073 | $122K |
| 2022 | 3,066 | $62K |
| 2023 | 3,343 | $66K |
| 2024 | 2,248 | $53K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92004 | 4,661 | 4,314 | $125K | |
| V2020 | Vision svcs frames purchases | 6,231 | 5,784 | $107K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 3,108 | 2,939 | $60K |
| S0620 | Routine ophthalmological exa | 771 | 771 | $39K |
| V2100 | Lens spher single plano 4.00 | 1,333 | 1,158 | $25K |
| 92014 | 650 | 577 | $23K | |
| 92340 | 936 | 928 | $22K | |
| V2784 | Lens polycarb or equal | 3,188 | 2,937 | $21K |
| V2203 | Lens sphcyl bifocal 4.00d/.1 | 608 | 566 | $17K |
| 92341 | 86 | 86 | $3K | |
| V2200 | Lens spher bifoc plano 4.00d | 52 | 51 | $2K |
| V2303 | Lens sphcy trifocal 4.0/.12- | 39 | 39 | $1K |
| 92015 | 40 | 39 | $722.76 | |
| V2781 | Progressive lens per lens | 31 | 29 | $515.00 |