NPI: 1285656553 · JACKSONVILLE, FL 32216 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 3,692 | $13K |
| 2020 | 1,538 | $12K |
| 2021 | 417 | $8K |
| 2022 | 4,757 | $171K |
| 2023 | 4,389 | $114K |
| 2024 | 1,793 | $36K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92004 | 1,981 | 1,902 | $205K | |
| 92014 | 1,199 | 1,167 | $108K | |
| V2100 | Lens spher single plano 4.00 | 2,285 | 2,013 | $15K |
| V2020 | Vision svcs frames purchases | 1,999 | 1,915 | $11K |
| 92015 | 2,313 | 2,222 | $5K | |
| 92340 | 3,063 | 2,906 | $5K | |
| V2200 | Lens spher bifoc plano 4.00d | 353 | 319 | $4K |
| V2784 | Lens polycarb or equal | 50 | 50 | $831.95 |
| 2022F | 358 | 358 | $0.00 | |
| V2025 | Eyeglasses delux frames | 1,175 | 1,022 | $0.00 |
| G0117 | Glaucoma scrn hgh risk direc | 494 | 494 | $0.00 |
| 92342 | 470 | 462 | $0.00 | |
| V2756 | Eye glass case | 448 | 445 | $0.00 |
| 3072F | 194 | 194 | $0.00 | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 204 | 102 | $0.00 |