NPI: 1295818722 · RAHWAY, NJ 07065 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,144 | $16K |
| 2019 | 1,185 | $17K |
| 2020 | 1,252 | $10K |
| 2021 | 2,298 | $15K |
| 2022 | 2,636 | $19K |
| 2023 | 3,013 | $18K |
| 2024 | 2,542 | $15K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 3,316 | 3,309 | $74K | |
| 92004 | 2,397 | 2,392 | $38K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 1,746 | 990 | $0.00 |
| V2784 | Lens polycarb or equal | 2,514 | 1,405 | $0.00 |
| V2100 | Lens spher single plano 4.00 | 899 | 496 | $0.00 |
| S0620 | Routine ophthalmological exa | 32 | 32 | $0.00 |
| 2023F | 15 | 15 | $0.00 | |
| V2020 | Vision svcs frames purchases | 3,121 | 3,043 | $0.00 |
| S0621 | Routine ophthalmological exa | 15 | 15 | $0.00 |
| 2022F | 15 | 15 | $0.00 |