NPI: 1275294217 · MONTGOMERY, AL 36117 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 5,542 | $104K |
| 2023 | 12,726 | $294K |
| 2024 | 12,047 | $230K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 2,552 | 2,329 | $145K | |
| 92004 | 1,483 | 1,342 | $87K | |
| V2499 | Variable asphericity lens | 1,213 | 1,133 | $82K |
| 92340 | 4,854 | 4,353 | $66K | |
| V2755 | Uv lens/es | 3,245 | 2,912 | $52K |
| V2750 | Anti-reflective coating | 1,065 | 956 | $51K |
| V2020 | Vision svcs frames purchases | 4,845 | 4,346 | $45K |
| 92015 | 4,024 | 3,603 | $27K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 1,826 | 1,670 | $26K |
| V2784 | Lens polycarb or equal | 3,527 | 3,195 | $24K |
| V2104 | Spherocylindr 4.00d/2.12-4d | 1,373 | 1,255 | $17K |
| V2100 | Lens spher single plano 4.00 | 241 | 212 | $3K |
| V2782 | Lens, 1.54-1.65 p/1.60-1.79g | 30 | 14 | $2K |
| V2783 | Lens, >= 1.66 p/>=1.80 g | 24 | 12 | $1K |
| V2204 | Lens sphcy bifocal 4.00d/2.1 | 13 | 13 | $270.00 |