NPI: 1285699405 · MONTGOMERY, WV 25136 · 207W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,096 | $53K |
| 2019 | 392 | $16K |
| 2020 | 1,033 | $45K |
| 2021 | 1,272 | $58K |
| 2022 | 799 | $35K |
| 2023 | 717 | $32K |
| 2024 | 486 | $25K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2020 | Vision svcs frames purchases | 1,223 | 1,120 | $70K |
| 99204 | 561 | 512 | $48K | |
| 99213 | 1,038 | 970 | $31K | |
| 92014 | 411 | 393 | $31K | |
| 99212 | 845 | 744 | $20K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 493 | 460 | $20K |
| 99214 | 232 | 199 | $14K | |
| 92015 | 659 | 636 | $14K | |
| 92004 | 104 | 99 | $10K | |
| 92133 | 138 | 84 | $4K | |
| V2100 | Lens spher single plano 4.00 | 91 | 88 | $3K |