NPI: 1275870883 · HARRISBURG, PA 17112 · 332H00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 376 | $10K |
| 2020 | 1,263 | $44K |
| 2021 | 7,760 | $218K |
| 2022 | 3,223 | $98K |
| 2023 | 6,256 | $197K |
| 2024 | 5,666 | $200K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2100 | Lens spher single plano 4.00 | 7,800 | 5,728 | $315K |
| V2020 | Vision svcs frames purchases | 7,924 | 6,935 | $225K |
| 92014 | 1,364 | 1,327 | $56K | |
| 92004 | 1,289 | 1,266 | $53K | |
| 92340 | 1,233 | 895 | $28K | |
| V2200 | Lens spher bifoc plano 4.00d | 634 | 485 | $25K |
| V2750 | Anti-reflective coating | 1,855 | 1,460 | $22K |
| 92012 | 524 | 524 | $21K | |
| V2784 | Lens polycarb or equal | 1,648 | 932 | $17K |
| V2744 | Tint photochromatic lens/es | 155 | 122 | $3K |
| S0620 | Routine ophthalmological exa | 49 | 49 | $1K |
| V2500 | Contact lens pmma spherical | 12 | 12 | $1K |
| S0621 | Routine ophthalmological exa | 12 | 12 | $360.00 |
| V2799 | Misc vision item or service | 45 | 44 | $0.00 |