NPI: 1285029223 · PHILADELPHIA, PA 19122 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 826 | $19K |
| 2020 | 4,319 | $121K |
| 2021 | 13,995 | $381K |
| 2022 | 15,280 | $409K |
| 2023 | 15,231 | $403K |
| 2024 | 15,688 | $423K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2100 | Lens spher single plano 4.00 | 18,800 | 8,731 | $514K |
| V2020 | Vision svcs frames purchases | 10,488 | 9,728 | $410K |
| 92004 | 6,752 | 6,409 | $303K | |
| 92014 | 6,651 | 6,387 | $288K | |
| 92250 | 1,628 | 1,521 | $85K | |
| 99214 | 601 | 580 | $29K | |
| V2784 | Lens polycarb or equal | 15,128 | 7,145 | $25K |
| V2750 | Anti-reflective coating | 1,134 | 505 | $21K |
| V2200 | Lens spher bifoc plano 4.00d | 528 | 272 | $19K |
| 99204 | 229 | 217 | $17K | |
| 99213 | 364 | 334 | $13K | |
| V2520 | Contact lens hydrophilic | 102 | 102 | $10K |
| 92340 | 899 | 892 | $9K | |
| 92015 | 1,480 | 1,460 | $7K | |
| V2744 | Tint photochromatic lens/es | 76 | 40 | $2K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 42 | 17 | $1K |
| V2781 | Progressive lens per lens | 24 | 12 | $975.00 |
| V2299 | Lens bifocal speciality | 24 | 12 | $914.96 |
| 92310 | 13 | 13 | $670.00 | |
| 2024F | 244 | 243 | $0.00 | |
| 2022F | 37 | 37 | $0.00 | |
| 2023F | 95 | 94 | $0.00 |