NPI: 1275634800 · PENSACOLA, FL 32502 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 352 | $7K |
| 2021 | 482 | $18K |
| 2022 | 3,068 | $120K |
| 2023 | 2,809 | $104K |
| 2024 | 1,730 | $52K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2020 | Vision svcs frames purchases | 1,640 | 1,541 | $118K |
| 92014 | 948 | 884 | $91K | |
| 92004 | 697 | 683 | $72K | |
| 92015 | 1,881 | 1,783 | $9K | |
| 92340 | 1,465 | 1,372 | $6K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 1,533 | 892 | $5K |
| V2100 | Lens spher single plano 4.00 | 201 | 135 | $195.00 |
| 92250 | 48 | 48 | $86.49 | |
| V2755 | Uv lens/es | 28 | 28 | $0.00 |