NPI: 1306268347 · KING OF PRUSSIA, PA 19406 · 332H00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 1,290 | $33K |
| 2021 | 5,052 | $125K |
| 2022 | 4,237 | $112K |
| 2023 | 6,937 | $150K |
| 2024 | 5,499 | $108K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2100 | Lens spher single plano 4.00 | 9,300 | 3,939 | $238K |
| V2020 | Vision svcs frames purchases | 5,176 | 3,975 | $140K |
| 92014 | 1,494 | 1,450 | $62K | |
| 92004 | 1,309 | 1,211 | $54K | |
| V2784 | Lens polycarb or equal | 3,210 | 1,493 | $14K |
| 92340 | 385 | 367 | $8K | |
| V2755 | Uv lens/es | 1,455 | 528 | $7K |
| V2750 | Anti-reflective coating | 570 | 277 | $3K |
| 92015 | 86 | 86 | $386.50 | |
| 92250 | 30 | 30 | $0.00 |