NPI: 1326090432 · HONOLULU, HI 96826 · 207WX0110X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 4,811 | $219K |
| 2019 | 4,462 | $206K |
| 2020 | 2,670 | $119K |
| 2021 | 2,846 | $119K |
| 2022 | 2,098 | $62K |
| 2023 | 2,083 | $96K |
| 2024 | 2,853 | $147K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 5,992 | 5,713 | $390K | |
| 92060 | 3,973 | 3,901 | $181K | |
| 92004 | 1,389 | 1,309 | $119K | |
| 92015 | 5,202 | 5,017 | $67K | |
| V2020 | Vision svcs frames purchases | 874 | 856 | $58K |
| V2784 | Lens polycarb or equal | 1,059 | 1,034 | $56K |
| 99244 | 235 | 234 | $30K | |
| 92340 | 476 | 475 | $18K | |
| 99222 | 193 | 164 | $18K | |
| V2100 | Lens spher single plano 4.00 | 352 | 346 | $10K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 166 | 164 | $10K |
| 92012 | 161 | 158 | $8K | |
| V2756 | Eye glass case | 844 | 842 | $1K |
| 99232 | 23 | 14 | $1K | |
| 92250 | 24 | 19 | $952.02 | |
| 92201 | 45 | 34 | $945.27 | |
| 99213 | 17 | 15 | $527.12 | |
| 99072 | 13 | 13 | $210.96 | |
| V2025 | Eyeglasses delux frames | 159 | 159 | $0.00 |
| S9999 | Sales tax | 626 | 598 | $0.00 |