NPI: 1326082926 · ELIZABETH, NJ 07208 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 4,886 | $49K |
| 2019 | 5,120 | $57K |
| 2020 | 2,388 | $19K |
| 2021 | 4,036 | $38K |
| 2022 | 5,215 | $44K |
| 2023 | 5,330 | $58K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 3,487 | 3,481 | $74K | |
| 92250 | 1,728 | 1,724 | $61K | |
| 92004 | 1,431 | 1,430 | $29K | |
| V2020 | Vision svcs frames purchases | 3,997 | 3,966 | $23K |
| 92285 | 658 | 655 | $21K | |
| V2784 | Lens polycarb or equal | 4,046 | 2,468 | $14K |
| 92340 | 748 | 741 | $14K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 1,985 | 1,416 | $12K |
| 92012 | 190 | 178 | $7K | |
| 92015 | 3,407 | 3,394 | $7K | |
| V2100 | Lens spher single plano 4.00 | 2,991 | 1,624 | $3K |
| V2203 | Lens sphcyl bifocal 4.00d/.1 | 234 | 154 | $776.95 |
| V2104 | Spherocylindr 4.00d/2.12-4d | 24 | 13 | $21.00 |
| V2750 | Anti-reflective coating | 1,073 | 532 | $0.00 |
| S0621 | Routine ophthalmological exa | 69 | 69 | $0.00 |
| 2023F | 886 | 861 | $0.00 | |
| S0620 | Routine ophthalmological exa | 21 | 21 | $0.00 |