NPI: 1306060199 · GREENVILLE, SC 29617 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 6,177 | $226K |
| 2019 | 5,055 | $185K |
| 2020 | 2,474 | $90K |
| 2021 | 1,866 | $67K |
| 2022 | 1,627 | $61K |
| 2023 | 1,826 | $70K |
| 2024 | 1,494 | $57K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 5,153 | 5,143 | $373K | |
| 92004 | 1,579 | 1,572 | $131K | |
| 92015 | 7,154 | 7,115 | $113K | |
| 92340 | 5,588 | 5,538 | $95K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 964 | 628 | $39K |
| V2100 | Lens spher single plano 4.00 | 45 | 26 | $1K |
| V2020 | Vision svcs frames purchases | 18 | 18 | $900.00 |
| V2784 | Lens polycarb or equal | 18 | 18 | $700.00 |