NPI: 1285686139 · PROVIDENCE, RI 02903 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 2,884 | $86K |
| 2024 | 5,945 | $174K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99214 | 889 | 881 | $61K | |
| 92014 | 774 | 759 | $32K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 1,206 | 672 | $29K |
| V2020 | Vision svcs frames purchases | 1,139 | 1,107 | $22K |
| 99213 | 422 | 402 | $20K | |
| 92340 | 1,022 | 999 | $17K | |
| 99203 | 145 | 140 | $11K | |
| 92004 | 190 | 186 | $11K | |
| 92015 | 546 | 531 | $10K | |
| S0580 | Polycarb lens | 1,092 | 536 | $9K |
| 92250 | 268 | 263 | $9K | |
| V2100 | Lens spher single plano 4.00 | 316 | 218 | $8K |
| V2203 | Lens sphcyl bifocal 4.00d/.1 | 141 | 82 | $6K |
| V2104 | Spherocylindr 4.00d/2.12-4d | 128 | 87 | $3K |
| 92370 | 270 | 259 | $3K | |
| 92341 | 123 | 117 | $2K | |
| 92012 | 36 | 32 | $1K | |
| V2303 | Lens sphcy trifocal 4.0/.12- | 22 | 12 | $936.27 |
| 92342 | 40 | 40 | $839.65 | |
| 92133 | 27 | 27 | $715.31 | |
| V2107 | Spherocylinder 4.25d/12-2d | 20 | 12 | $512.70 |
| 92083 | 13 | 13 | $497.25 |