NPI: 1295838548 · BIRMINGHAM, AL 35294 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 2,988 | $102K |
| 2024 | 2,115 | $69K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2410 | Lens variab asphericity sing | 568 | 464 | $41K |
| V2100 | Lens spher single plano 4.00 | 523 | 426 | $28K |
| V2025 | Eyeglasses delux frames | 554 | 463 | $28K |
| V2784 | Lens polycarb or equal | 585 | 466 | $16K |
| 92250 | 545 | 426 | $15K | |
| 92004 | 361 | 257 | $12K | |
| V2750 | Anti-reflective coating | 587 | 467 | $12K |
| 92014 | 144 | 118 | $11K | |
| 92340 | 584 | 460 | $9K | |
| 92015 | 618 | 449 | $109.41 | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 14 | 14 | $0.00 |
| V2020 | Vision svcs frames purchases | 20 | 19 | $0.00 |