NPI: 1295715241 · WEST BERLIN, NJ 08091 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,932 | $31K |
| 2019 | 1,388 | $22K |
| 2020 | 1,293 | $19K |
| 2021 | 1,672 | $24K |
| 2022 | 1,552 | $21K |
| 2023 | 1,664 | $21K |
| 2024 | 1,839 | $19K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 2,222 | 2,202 | $70K | |
| V2020 | Vision svcs frames purchases | 2,488 | 2,429 | $26K |
| V2100 | Lens spher single plano 4.00 | 1,821 | 1,791 | $22K |
| 92004 | 710 | 707 | $20K | |
| V2784 | Lens polycarb or equal | 1,239 | 1,204 | $10K |
| 92015 | 2,161 | 2,141 | $7K | |
| 92227 | 225 | 203 | $831.00 | |
| 92250 | 15 | 15 | $588.00 | |
| V2520 | Contact lens hydrophilic | 12 | 12 | $400.00 |
| 2024F | 349 | 321 | $0.00 | |
| S0621 | Routine ophthalmological exa | 39 | 39 | $0.00 |
| S0620 | Routine ophthalmological exa | 19 | 19 | $0.00 |
| V2103 | Spherocylindr 4.00d/12-2.00d | 40 | 20 | $0.00 |